Tag Archive for: Orthostatic Hypotension

(Dis)utility of Orthostatics in Volume Depletion

05 Mar
March 5, 2018

Definition: Orthostatic hypotension (OH) is a form of low blood pressure that occurs with positional change (i.e. sitting up from lying down, standing up from sitting). It is commonly used for the diagnosis of volume depletion

Orthostatic Vital Signs

  • A reduction of systolic blood pressure (SBP) of at least 20 mm Hg
  • A reduction in diastolic blood pressure (DBP) of at least 10 mm Hg
  • An increase in heart rate (HR) by > 30 beats per minute

One of the above criteria must be met while measured 3 minutes after standing from a supine position.

Clinical Question: Are orthostatic vital signs useful in finding patients with occult volume loss? Do they add to our standard clinical assessment of patients? Read more →

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