Orthostatic hypotension and associated supine hypertension are common and dangerous in older people, but adherence to structured management strategies can result in major improvements.
This review highlights the importance of prompt recognition and structured management of orthostatic hypotension in older adults to prevent falls, fractures, and other adverse outcomes.
Orthostatic hypotension (OH) is very common in older people and is encountered daily in emergency departments and medical admissions units. It is associated with a higher risk of falls, fractures, dementia and death, so prompt recognition and treatment are essential. In this review article, we describe the physiology of standing (orthostasis) and the pathophysiology of orthostatic hypotension. We focus particularly on aspects pertinent to older people. We review the evidence and consensus management guidelines for all aspects of management. We also tackle the challenge of concomitant orthostatic hypotension and supine hypertension, providing a treatment overview as well as practical suggestions for management. In summary, orthostatic hypotension (and associated supine hypertension) are common, dangerous and disabling, but adherence to simple structures management strategies can result in major improvements.
Dani et al. (Sat,) conducted a review in Orthostatic hypotension. Structured management strategies was evaluated. Orthostatic hypotension and associated supine hypertension are common and dangerous in older people, but adherence to structured management strategies can result in major improvements.