Which diuretic causes orthostatic hypotension?

Which diuretic causes orthostatic hypotension?

The results showed that patients on thiazide diuretics had a higher incidence of postural hypotension (reduction in systolic blood pressure greater than 20 mmHg on standing after 2 minutes) than patients on loop diuretics (12 out of 20 vs 4 out of 20, p less than 0.05).

Does aortic stenosis cause orthostatic hypotension?

Patients with cardiovascular disease such as aortic stenosis, pericarditis/myocarditis or arrhythmias are also at increased risk for orthostatic hypotension. It can also occur in younger and middle-age patients, who, in the absence of volume depletion, usually have a chronic autonomic failure.

What is the mechanism of orthostatic hypotension?

Mechanism. Orthostatic hypotension happens when gravity causes blood to pool in the lower extremities, which in turn compromises venous return, resulting in decreased cardiac output and subsequent lowering of arterial pressure.

Which client is at greatest risk for orthostatic hypotension?

ORTHOSTATIC HYPOTENSION IS COMMON IN THE ELDERLY The high prevalence among institutionalized patients likely reflects multiple disease processes, including neurologic and cardiac conditions, as well as medications associated with orthostatic hypotension.

Does orthostatic hypotension increase with age?

Prevalence increased with age, from 4.2% among those in their 50s to 18.5% among those older than 80.

What heart conditions cause orthostatic hypotension?

Patients with heart valve disorders, heart failure, and heart attack may all experience orthostatic hypotension. Disorders of the nervous system may also cause orthostatic hypotension. Examples include Parkinsonism, amyloidosis, and Shy-Drager Syndrome (or multiple system atrophy).

What happens to heart rate during orthostatic hypotension?

In many cases, the heart rate is closer to 120 beats per minute. Additional symptoms include lightheadedness, blurry vision, tremulousness, and weakness, particularly of the legs. Excessive fatigue, shortness of breath and exercise intolerance may also occur.

What kind of doctor should I see for orthostatic hypotension?

An nOH specialist is a doctor who can help diagnose and manage nOH. Usually this is a neurologist who specializes in movement disorders, but it can also be a general neurologist or a cardiologist.

How do you exercise with orthostatic hypotension?

Exercise gently before getting up, by moving feet up and down or marching in place after standing. Consider modifying workouts to group together standing exercises, seated exercises and supine (laying down) exercises.