Talk:Orthostatic hypotension

Question
> Orthostatic hypotension (also known as postural hypotension and, > colloquially, as head rush) is a sudden fall in blood pressure > that occurs when a person assumes a standing position.

Can someone please refer me to what condition results from the opposite of this?

Sometimes I develop a headache when I get into an inverted position like being upside down, or laying head downwards on a slope.

I always thought what I was suffering was a "headrush", but the wiki page describes headrush as being caused by "standing up", which is the opposite direction.

Surely if there is a name for a condition where someone experiences a "sudden fall in blood presure" there must be a name for the condition where someone has a "sudden increase in blood pressure".

Please email me at email address jbit@ev1.net

Long term effects
Are there any long term effects from orthostatic hypotension?

Not from orthostatic hypotension itself, but it possible for, say, head injuries to be suffered if the individual falls down during an attack.LeeRamsey (talk) 01:45, 29 January 2008 (UTC)

Revision
I tried to undo a vandalism but maybe not everything is right, please check. Gaviidae 12:00, 24 April 2007 (UTC)

Text lifted from NIH page?
It seems like some of the text on this page was lifted directly from: http://www.ninds.nih.gov/disorders/orthostatic_hypotension/orthostatic_hypotension.htm Particularly the Treatment section and some of the sentences in the Symptoms section. And it's not attributed to that site.

Is this allowed, since it's a .gov site? Or is it a copyright violation? --Catnmus 03:26, 28 May 2007 (UTC)

More copyrighting
May actually have been copyrighted at: http://hypertension-facts.org/about.html --Catnmus 03:28, 28 May 2007 (UTC)

After pregnancy?
I have heard that this condition often disappears after pregnancy. My PubMed searches have yielded nothing on this matter, however. Can anyone more knowledgeable than I confirm or deny this? If it's true, it would be useful information to incorporate into the article.Lilac Soul 09:03, 20 June 2007 (UTC)

Wrongdiagnosis
I strongly oppose the use of a non-authoritative website as a source. JFW | T@lk  10:26, 8 July 2007 (UTC)
 * Okay. Got rid of that reference.  The article really could use more work.  I wish I knew more about orthostatic changes. :-( Ksheka 19:39, 9 July 2007 (UTC)

Merge with orthostatic intolerance?
As far as I can tell, orthostatic intolerance and orthostatic hypotension are the same thing. Should these two be merged?
 * They are not the same thing, and should not be merged. --Arcadian (talk) 19:26, 29 January 2008 (UTC)


 * I'm perfectly willing to believe you. I merged the pages is because there were no objections to the above suggestion, and the first sentence of this article asserts that they are identical:  "Orthostatic hypotension (also known as...orthostatic intolerance..."  Presumably it should be corrected.  WhatamIdoing (talk) 19:30, 29 January 2008 (UTC)
 * I have fixed that first sentence. --Arcadian (talk) 06:02, 30 January 2008 (UTC)

Upper 'quadrant'?
this needs clarification. i'm not entirely sure what you mean. wouldn't 'upper (superior, cephalad) quarter' or 'upper 25%' be better? furthermore, some exposition of the pathophysiology(in para/quadriplegia) would be good.Toyokuni3 (talk) 15:57, 8 July 2008 (UTC)

Diseases vs. other risk factors
Anorexia nervosa and bulimia nervosa are diseases - why is the correlation between orthostatic hypotension and these conditions described in 'other risk factors' and not 'diseases'? 64.211.50.218 (talk) 19:20, 27 May 2009 (UTC)Tiktok

"Head Rush"
Somebody out there should create a WP page dealing with the term "Head Rush". I just had an (uninteresting) experiance which required hopstializeation for repaeated "head rush"-type experiences and I had to expleain to my ER MD what a "head rush" was.

Basesurge (talk) 08:31, 14 July 2009 (UTC)


 * I'm not convinced that "head rush" is used to mean exactly the same thing by every person, so the doc presumably wanted to know what you meant. The term has always seemed a little backwards to me (since "rushing to the head" is exactly what the blood is not doing.  Maybe we should call it "foot rush" instead. ;-)
 * You might be interested in reading the related orthostatic intolerance page as well. WhatamIdoing (talk) 06:14, 19 July 2009 (UTC)

Baroreceptor-mediated vasoconstriction
While vasoconstriction may play a role in maintaining total peripheral resistance and preventing shock, it is not going to be the principal mechanism by which MAP is raised, as blood is pooling in the venous system by definition in orthostasis. Venoconstriction will be an important factor, as of course will be the baroreceptor-mediated chronotropic effect on the heart. However, ultimately some attention must be paid to the Frank-Starling mechanism here, as it will ultimately be responsible for maintaining arterial blood pressure when cardiac output falls. —Preceding unsigned comment added by 81.136.203.19 (talk) 10:37, 1 February 2011 (UTC)

Salt intake
In the lifestyle factors list: Regarding salt intake: "A suggested value is 10g per day"

Is that supposed to be 10mg instead of 10g?? —Preceding unsigned comment added by 109.175.222.101 (talk) 17:57, 13 February 2011 (UTC)

The NHS (https://www.nhs.uk/live-well/eat-well/salt-nutrition/) recommends 6g of salt a day. Wikipedia shouldn't be encouraging people to add another 10g to that. 217.104.97.182 (talk) 18:09, 28 August 2021 (UTC)

Growth spurts
When I was twelve or so, I experienced this, and my doctor told me it was postural hypotension. She said that this was common to happen when teenagers have their growth spurts, because the blood won't make it all the way to the extremities due to the systems not being used to the sudden change in growth. After my growth spurt, this went away. I have no source for this besides what my doctor told me, but should it be added to the article? -68.52.16.223 (talk) 00:34, 5 April 2011 (UTC)
 * It can't be added if your only source is your doctor when you were twelve, but growth spurts as a cause of orthostatic/postural hypotension would definitely fit in the article if you could find a good source for it, and if your doctor knew about it there's probably sources out there. Try googling, and if you can find a reliable source, then please add some info about this to the article! Princess Lirin (talk) 06:13, 5 April 2011 (UTC)

Better/Alternate Reference #5: inner ear effect on blood flow
A better reference than the BBC news article, here is the actual paper: "Vestibular effects on cerebral blood flow" Jorge M Serrador, Todd T Schlegel, F Owen Black and Scott J Wood http://www.biomedcentral.com/1471-2202/10/119 — Preceding unsigned comment added by 2620:0:1000:3803:A800:1FF:FE00:54EC (talk) 05:59, 17 July 2013 (UTC)

Harness Hang Syndrome/Suspension Trauma
Article says orthostatic hypotension caused by harnesses has to do with the pressure of the loops on legs restricting return blood flow. Article on Suspension Trauma expresses that this is not the case -- http://en.wikipedia.org/wiki/Suspension_trauma -- and request linkage to suspension trauma for that section instead of using incorrect information here. — Preceding unsigned comment added by 108.222.157.202 (talk) 14:35, 1 September 2013 (UTC)

Endurance athletes
Should poor hydration and low hr be mentioned, eg http://forums.roadbikereview.com/racing-training-nutrition-triathlons/dizziness-when-standing-277337.html ?

Ericoides (talk) 13:59, 24 May 2015 (UTC)

management
"keeping the head of the bed slightly elevated reduces the return of this fluid to the kidneys at night and causing nighttime urine production and blood pressure increases" - the word REDUCES seems wrong; is it INCREASES instead?

also "this fluid" seems to be a(n orphaned) reference made at something in the original text this sentence was taken from. 80.98.79.37 (talk) 09:32, 29 July 2017 (UTC).

Request edit on 7 January 2019
Request permission for me to redraft a copyrighted flow diagram for OH management which is now copyright of the Royal Australasian College of Physicians, citing my paper. The paper is notable due to its citations (including Canadian heart failure guidelines) https://scholar.google.com.au/scholar?cites=9995530496566347381&as_sdt=2005&sciodt=0,5&hl=en one or two of which basically copied the flow diagram citing me.

Also think several parts of the paper can be inserted with me rewording and using my original citations from the paper. I know this is a vague request but I won't touch the page at all if my paper is not considered to be noteworthy by senior editors, and I'll put proper templates in and redraft the flow diagram if its ok. Thanks E.3 (talk) 03:58, 15 January 2019 (UTC)

Reply 15-JAN-2019
Regards,  Spintendo   08:24, 15 January 2019 (UTC)
 * Permission to redraft a copyrighted flow diagram cannot be obtained through a COI edit request, as reviewers have no ability to grant such a request.
 * Discussion ought to be attempted with local editors before specific additions or subtractions of content can be made to the article. You may do so here on the talk page below, but without the use of the template, which is for specific, actionable requests.

Some proposed changes
Information to be added or removed: a flow diagram similar to Docdroid dot net slash SQxfNTL slash draftdiagram.pdf - reinterpreting my original diagram into simpler language Explanation of issue: Author of https://www.ncbi.nlm.nih.gov/pubmed/27389479 References supporting change: cited in Canadian heart failure guidelines and otherwise well cited E.3 (talk) 09:42, 11 March 2019 (UTC)

Reply 11-MAR-2019
Regards,  Spintendo   17:27, 11 March 2019 (UTC)
 * The file needs to be uploaded to Wikipedia along with the appurtenant use license before it can be added to the article. You may use the File Upload Wizard to accomplish this.

Review
10.1016/S1474-4422(22)00169-7 JFW &#124; T@lk  13:20, 14 July 2022 (UTC)