ABC Medical Center > Orthostatic or postural hypotension

What is Orthostatic or postural hypotension?

21:56 - 4 May , 2021


This is a condition that consists of low blood pressure when you sit up after sitting or lying down, making you feel dizzy or lightheaded, or even losing consciousness.

Orthostatic or postural hypotension, as it is also known, can be severe or mild. It usually occurs in older adults, mainly for one of the following reasons:

  • Nervous system disorders.
  • Alcohol consumption.
  • Dehydration.
  • Exposure to heat.
  • Eating some foods.
  • Medication.
  • Staying in bed for a long time due to an illness or injury that can cause weakness.
  • Heart conditions.
  • Endocrine disorders.

Signs and symptoms Orthostatic or postural hypotension

  • Lightheadedness or dizziness when getting up.
  • Lack of energy.
  • Disorientation.
  • Faint.
  • Blurred vision.

Possible complications of persistent orthostatic hypotension include:

  • Strokes due to reduced blood flow to the brain.
  • Falls caused by loss of consciousness.
  • Cardiovascular disorders such as:
  • Chest pain.
  • Heart failure.
  • Arrhythmia.

Diagnosis and treatment Orthostatic or postural hypotension

The doctor will analyze your symptoms and medical history, perform a physical examination, and request various tests, including:

  • Blood pressure control.
  • Echocardiogram
  • Electrocardiogram (EKG)
  • Blood tests.
  • Stress test.
  • Tilt table test.
  • Valsalva maneuver.

Treatment of orthostatic hypotension depends on the cause but usually includes lifestyle changes and the use of certain medications.

At ABC Medical Center’s Internal Medicine Department, we offer health care services with the highest quality and safety, from the prevention, diagnosis, timely treatment, and monitoring of infectious, respiratory, endocrinological, dermatological, rheumatic, nephrological, gastrointestinal, and hematological pathologies of both chronic-degenerative diseases and acute conditions, through a comprehensive and multidisciplinary model.


  • González MAM, Rodríguez RL, Brenes HL, et al. Hipotensión ortostática en adulta mayor de 82 años, con caídas. Geroinfo. 2014;9(3):.
  • Chao CL, Ortega MLL, Domínguez GL, et al. Síncope e hipotensión ortostática. Rev Cub Med Int Emerg. 2012;11(2):2466-2482.

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