Diastolic Hypotension: Causes & Reasons

Possible Causes for Diastolic Hypotension

LVS 4 Common Rare EDM(Early Diastolic Murmur) Short EDM Long EDM Severity of AR – Assessed with hills sign [notes.medicosnotes.com]

Avoid beta-blockers in acute AR as the effect of prolonging diastole and blocking the compensatory tachycardia may cause or worsen hypotension. B. [clinicaladvisor.com]

Once the cardiac output begins to suffer, diastolic filling of the coronary arteries decreases, contributing to worsening LV failure. [derangedphysiology.com]

Patent Ductus Arteriosus

**Consider hydrocortisone (refractory hypotension with adrenal insufficiency) with systolic and/or diastolic hypotension. [frontiersin.org]

Hypotension unresponsive to volume administration and high-dose pressor/inotrope support prompting use of HC was deemed to be refractory hypotension. [nature.com]

Low diastolic pressure contributes to hypotension and systemic hypoperfusion, altering circulation to pressure-dependent organs such as the intestines, muscles, kidneys, brain [ncbi.nlm.nih.gov]

Aortic Valve Insufficiency

Aortic regurgitation (AR) is characterized by diastolic reflux of blood from the aorta into the left ventricle (LV). [ncbi.nlm.nih.gov]

Avoid beta-blockers in acute AR as the effect of prolonging diastole and blocking the compensatory tachycardia may cause or worsen hypotension. B. [clinicaladvisor.com]

[…] to encourage forward stroke volume with dilated left ventricle Management of AR: Hypotension should not be treated with pure vasoconstrictor medications because arterial [openanesthesia.org]

Congenital Aortic Insufficiency

Avoid beta-blockers in acute AR as the effect of prolonging diastole and blocking the compensatory tachycardia may cause or worsen hypotension. B. [clinicaladvisor.com]

As a result, pulmonary edema, hypotension and cardiogenic shock quickly develop. [clinicaladvisor.com]

On cardiac exam, the rapid rise in LV diastolic pressure quickly rises above left atrial pressure, thereby prematurely closing the mitral valve. [clinicaladvisor.com]

Orthostatic Hypotension

PURPOSE: The contribution of diastolic blood pressure measurement to the diagnosis of classical orthostatic hypotension is not known. [ncbi.nlm.nih.gov]

RESULTS: Amongst the 831 individuals, more had systolic orthostatic hypotension [n = 354 (43%)] than diastolic orthostatic hypotension [n = 305 (37%)] during lying-to-standing [ncbi.nlm.nih.gov]

The prevalence of diastolic orthostatic hypotension with a diastolic blood pressure decrease of 10 mmHg or greater was 37.2%. [ir.ymlib.yonsei.ac.kr]

Arteriovenous Fistula

We present two cases of females in their 40s presenting with biventricular heart failure being the consequence of a large arteriovenous fistula. Both patients had undergone abdominal surgery several years prior to the heart failure event with the initial finding of moderate pulmonary hypertension and high-output[…] [ncbi.nlm.nih.gov]

Aortic Dilation

BACKGROUND/OBJECTIVES: The mechanisms underlying aortic dilation in bicuspid aortic valve (BAV) disease are unknown. Circulating endothelial microparticles (EMPs) have emerged as biomarkers of endothelial damage. We sought to evaluate the relationships among EMPs, BAV disease, and aortic dilation. METHODS: Four[…] [ncbi.nlm.nih.gov]

Arteriovenous Malformation

Stephanie Tan * and Phillip Marsh Royal Brisbane and Womens Hospital, Australia *Corresponding Author: Stephanie Tan B. Pharm, MBBS Royal Brisbane and Womens Hospital Brisbane, Queensland, Australia Tel: +61-438817733 E-mail: [email protected] Received Date: January 14, 2015; Accepted Date: March 10, 2015; Published[…] [omicsonline.org]

Renal Arteriovenous Fistula

Presentation Patient for a follow up ultrasound two weeks after a lower pole renal transplant biopsy. Caption: Color Doppler scan of the lower pole of the kidney Description: An area of high velocity flow is revealed by the green area and is accompanied by a surrounding mosaic color pattern indicating focal tissue[…] [sonoworld.com]

Hepatic Arteriovenous Malformation

A male infant with high-output heart failure who had been found to have a hepatic arteriovenous malformation by ultrasound imaging was referred to our center (Department of Diagnostic and Interventional Radiology, Imam Khomeini Hospital, Tehran University of Medical Sciences, Islamic Republic of Iran) for further[…] [ncbi.nlm.nih.gov]

Paget Disease of the Bone

Osteitis Deformans (Paget Disease of Bone) is a topic covered in the 5-Minute Clinical Consult. To view the entire topic, please sign in or purchase a subscription. 5-Minute Clinical Consult (5MCC) app and website powered by Unbound Medicine helps you diagnose and manage 900+ medical conditions. Exclusive bonus[…] [unboundmedicine.com]

Aortopulmonary Septal Defect

Surgical repair of an aortopulmonary septal defect, interrupted aortic arch and the duct that coexists in this setting usually includes closure of the aortopulmonary septal defect, reconstruction of the arch, and interruption of the duct. A 20-month-old girl underwent a successful one-stage repair of such[…] [ncbi.nlm.nih.gov]

Hypotension

Blood pressure is written with the systolic number above the diastolic number. Hypotension in adults is defined as blood pressure of 90/60 or lower. [healthline.com]

The measurement for the periods of rest is called diastolic pressure, or diastole. [healthline.com]

Systole supplies your body with blood, and diastole supplies your heart with blood by filling the coronary arteries. [healthline.com]

Orthostatic Syncope

This phenomenon is known as initial orthostatic hypotension, characterized by a transient fall of systolic and diastolic pressures of > 40 mmHg and/or > 20 mmHg, respectively [symptoma.com]

hypotension ≥ 40-mm Hg decrease in systolic blood pressure or ≥ 20-mm Hg decrease in diastolic blood pressure within 15 seconds of standing followed by spontaneous and rapid [dynamed.com]

and hypotension alternating with relative bradycardia at rest (6). [tandfonline.com]

Congenital Vagal Hyperreflexivity

Alagiakrishnan Post- exercise Hypotension Post-exercise hypotension (PEH) is a condition where there is reduction in systolic and diastolic BP after exercise. [vdoc.pub]

Aronow Introduction Orthostatic hypotension is diagnosed if there is a reduction of ≥20 mm in systolic blood pressure or of ≥10 mm in diastolic blood pressure within 3 minutes [vdoc.pub]

Failure of these autonomic mechanisms may cause postural hypotension. [vdoc.pub]

Systolic Hypertension

The researchers coined the term "isolated diastolic hypotension" to describe a condition where the diastolic or between-beat pressure is less than 60 mm Hg and the systolic [deseretnews.com]

Patients with isolated systolic hypertension should be treated, but marked diastolic hypotension should be avoided. [ncbi.nlm.nih.gov]

Patients with isolated systolic hypertension should be treated, but marked diastolic hypotension should be avoided. FULL TEXT [annals.org]

Orthostatic Intolerance due to NET Deficiency

postural hypotension ( 4, 10 ), vasovagal syncope ( 11 ) Orthostatic diastolic hypotension ( 2 ), diastolic hypotension ( 8 ) Orthostatic diastolic hypertension ( 2 ), [oiresource.com]

Orthostatic diastolic hypotension that shows a fall in the lower number of BP. This is the less frequently seen area in ME/CFIDS. [ncf-net.org]

According to the American Academy of Neurology, the formal diagnosis of orthostatic hypotension requires a 20mm drop in systolic blood pressure or a 10mm drop in diastolic [medicinenet.com]

Pure Autonomic Failure

hypotension (Drop in BP by 20 mm Hg systolic or 10 mm diastolic) within 3 minutes of assuming upright position. [americanautonomicsociety.org]

hypotension (Drop in BP by 20 mm Hg systolic or 10 mm diastolic) within 3 minutes of ... [americanautonomicsociety.org]

Ratna Bhavaraju-Sanka Other names: Idiopathic orthostatic hypotension, Bradbury-Eggleston Syndrome, Neurogenic orthostatic hypotension Cardinal Features: • Idiopathic orthostatic [americanautonomicsociety.org]

Congenital Adrenal Hyperplasia due to 21-Hydroxylase Deficiency

hypotension. [ncbi.nlm.nih.gov]

hypotension, but preserved nocturnal dip of blood pressure [ 36 ]. [karger.com]

[…] data show altered 24-h blood pressure profiles with elevated systolic levels correlated with the degree of overweight and obesity, whereas normal-weight patients tended to diastolic [ncbi.nlm.nih.gov]

Status Asthmaticus

hypotension • Fluid and judicious use of noradrenaline / phenylephrine • Arterial line for repeated blood gases • Replace electrolytes 40. [de.slideshare.net]

In addition, diastolic hypotension may occasionally result from high doses of beta-agonists. [emedicine.medscape.com]

[…] sedation • Steroids and NMBA can cause prolong paralysis • Monitor flow volume loop, exhaled tidal volume, autoPEEP • Decreased cardiac output due to decreased preload, diastolic [de.slideshare.net]

Complication of Hemodialysis

In the comparison of % change for systolic and diastolic blood pressure between the hoarseness subgroups, diastolic blood pressure change was not different (P=0.521), but [ncbi.nlm.nih.gov]

Autonomous neuropathy and diastolic dysfunction. [epomedicine.com]

Common Causes of Hypotension Patient-specific causes Diabetes Autonomic neuropathy Reduced cardiac reserve (especially LVH & diastolic dysfunction) Arrhythmias Poor nutritional [slideshare.net]

Familial Periodic Paralysis

Hypotension and High Pulse Pressure http://livingwithperiodicparalysis.blogspot.com/2014/01/isolated-diastolic-hypotension-and-high.html What is an Ion Channelopathy? [livingwithperiodicparalysis.blogspot.com]

2014/01/a-message-to-our-non-english-speaking.html Dysautonomia and Periodic Paralysis http://livingwithperiodicparalysis.blogspot.com/2014/01/dysautonomia.html Isolated Diastolic [livingwithperiodicparalysis.blogspot.com]

Myxedema Coma

[…] blood pressure—early Hypotension—late Low cardiac output Non-specific ECG findings Pericardial effusion Polymorphic ventricular tachycardia (torsades de pointes) Prolonged [en.wikipedia.org]

[…] blood pressure—early Hypotension—late Bradycardia Delayed reflex relaxation Dry, cool, doughy skin Gastrointestinal Decreased motility Abdominal distension Paralytic ileus [aafp.org]

Diagnosis[edit] Clinical features of myxedema coma:[1][2][3] Cardiovascular Bradycardia Bundle branch blocks Complete heart block and arrhythmias Cardiomegaly Elevated diastolic [en.wikipedia.org]

Postural Orthostatic Tachycardia Syndrome

(decrease in systolic blood pressure [BP] of 20 mm Hg and diastolic BP of 10 mm Hg) and symptoms associated with orthostatic intolerance (e.g., tachycardia, presyncope) persisting [unboundmedicine.com]

(a decrease in systolic blood pressure [BP] of ≥20 mm Hg and/or decrease in diastolic BP of ≥10 mm Hg). [acc.org]

Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mmHg or a decrease in diastolic blood pressure of 10 mmHg within three minutes of standing [wjgnet.com]

Capillary Leak Syndrome

(systolic blood pressure typically less than 90 mm Hg or diastolic blood pressure less than 60 mm Hg) or associated symptoms of hypotension (e.g., hypotonia [collapse], lightheadedness [clinicaltrials.gov]

Diagnosis or suspected diagnosis of Systemic Capillary Leak Syndrome by a physician or documented history of capillary leak as characterized by one or more of the following: Hypotension [clinicaltrials.gov]

Diabetic Autonomic Neuropathy

In patients with autonomic neuropathy the diastolic cold pressor response was smaller than the controls (6.9 +/- 1.3 vs. 12.0 +/- 1.1 mmHg, P < 0.05); however, in patients [ncbi.nlm.nih.gov]

Diagnostic criteria for postural hypotension are controversial. [touchendocrinology.com]

Orthostatic hypotension (a fall in systolic or diastolic BP in response to a postural change from supine to standing) occurs in diabetes largely as a consequence of efferent [diapedia.org]

AIDS-Associated Meningoencephalitis

hypotension;Diffuse vasculitis;Digital pitting scar;Disseminated intravascular coagulation;Disseminated intravascular coagulation in newborn;Disseminated neonatal herpes [koronarealistit.com]

Dermatomyositis;Device embolisation;Device related thrombosis;Diabetes mellitus;Diabetic ketoacidosis;Diabetic mastopathy;Dialysis amyloidosis;Dialysis membrane reaction;Diastolic [koronarealistit.com]

Left-to-Right Cardiac Shunt

Diastolic hypotension with a volume-loaded ventricle and high heart rate can result in myocardial ischemia. Weaning from mechanical ventilation may be difficult. [cancertherapyadvisor.com]

Diastolic hypotension due to “run-off” into the pulmonary circulation, together with a volume loaded ventricle as a result of QP:QS>1, can lead to myocardial ischemia. [cancertherapyadvisor.com]

Pulmonary overcirculation and hypotension with low diastolic pressures: Requires reassessment of the shunt size and adjustment in ventilation and oxygenation strategy to more [cancertherapyadvisor.com]

Cardiac Tamponade

24% patients were hypotensive and only 27% had RV collapse. [sinaiem.org]

The classical signs of cardiac tamponade are hypotension, muffled heart sounds and jugular venous distention. [ecgwaves.com]

[…] space → compression of the heart, especially of the right ventricle due to a thinner wall → interventricular septum shifts towards the left ventricle chamber → ↓ ventricular diastolic [amboss.com]

Papillary Muscle Dysfunction

Consideration should therefore be given to the occurrence of severe MR whenever the abrupt onset of symptoms of reduced cardiac output, hypotension, elevated LV end-diastolic [cathlabdigest.com]

[…] or injured muscle tissue, resulting in abnormal filling {"diastolic dysfunction"} or abnormal emptying {"systolic dysfunction"}). [brown.edu]

Consideration should be given to the occurrence of MR whenever the abrupt onset of symptoms of reduced cardiac output, hypotension, elevated LV end-diastolic pressure, dyspnea [cathlabdigest.com]