Possible Causes for hypotension Acute Alcohol Intoxication Take the patient’s blood pressure to ascertain if there are any orthostatic changes, hypotension, or tachycardia. [medical-dictionary.thefreedictionary.com] Intoxicated patients were more likely to be hypotensive on admission (p 0.01) despite a lower liver injury grade and no significant difference in ISS. [ncbi.nlm.nih.gov] The cardiovascular system becomes depressed, leading to depression of the vasomotor center in the brain and to hypotension. [medical-dictionary.thefreedictionary.com] Anemia HBO was discontinued in the survivors when they no longer suffered from hypoxic sprue, postural hypotension, and usually when the Hct was 22% or greater and the Hb was 7 g [archive.rubicon-foundation.org] Hypovolemia leads to hypotension, which is detected by stretch receptors in the carotid bulb, aortic arch, heart, and lungs. [web.archive.org] Shock, hypotension, or coronary and pulmonary insufficiency can occur. This is more common in older individuals with underlying pulmonary and cardiovascular disease. [web.archive.org] Hypoglycemia In AN various cardiac complications may occur: hypotension, bradycardia, life-threatening ventricular arrhythmias, pericardial effusion, reduction of left ventricular mass [ncbi.nlm.nih.gov] He demonstrated progressive encephalopathy, seizure activity, second-degree atrioventricular block type I, respiratory failure, hypotension, hypothermia, and hypoglycemia. [ncbi.nlm.nih.gov] Monitor for hypotension. [jardiancehcp.com] Orthostatic Hypotension Evaluation of Orthostatic Hypotension FIGURE 1. Algorithm for the evaluation of orthostatic hypotension. [aafp.org] When these mechanisms are faulty or if the patient is hypovolemic, orthostatic hypotension may occur. [ncbi.nlm.nih.gov] Orthostatic hypotension Other names Orthostasis, postural, positional hypotension Specialty Cardiology, Neurology Symptoms symptoms that are worse when sitting or standing [en.wikipedia.org] Hyponatremia After several weeks of suffering from gastroenteritis with vomiting, she presented with disturbance of consciousness, hypotension, dehydration, and severe hyponatremia (108 [ncbi.nlm.nih.gov] He was in poor general condition, hypotensive, and he had dry mucous membranes and skin as well as mucosa hyperpigmentation. [ncbi.nlm.nih.gov] A patient with T-cell lymphoma had symmetrical leg edema due to lymphomatous obstruction of the inferior vena cava, postural hypotension, pleural effusion, ascites, decreased [ncbi.nlm.nih.gov] Substance Abuse Abstract Hospital-wide rumors and anecdotal reports had suggested that there was a potentially serious problem of alcohol and drug abuse among the psychiatric patients of this hospital. The authors describe a systematic, evaluative approach which gave direct and detailed information on the nature and extent of[…] [ncbi.nlm.nih.gov] Influenza The next morning, he complained of acute-onset shortness of breath and had hypotension and tachycardia. [ncbi.nlm.nih.gov] There can also be tachycardia and dyspnea but with hypotension. Vomiting and diarrhea may also occur, but are rare findings associated with the disorder. [symptoma.com] Only one immediate reaction was reported: one subject vaccinated with Agrippal S1 â experienced increased sweating and hypotension within the 30 minutes of vaccination. [scielo.org.ar] Hyperkalemia An 85 year-old woman on a drug regimen of sotalol, valsartan, spironolactone, and trimethoprim-sulfamethoxazole presented to the emergency department with hypotension and [ncbi.nlm.nih.gov] Amal Mattu’s ECG Case of the Week – January 21, 2019 HPI: A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered [ecgweekly.com] […] hyperkalemia or a patient with renal failure with suspected hyperkalemia should have intravenous access established and should be placed on a cardiac monitor [2] In the presence of hypotension [emedicine.medscape.com] Vasovagal Syncope POTS has recently been conflated with VVS when excessive tachycardia is succeeded by hypotension during tilt testing. [ncbi.nlm.nih.gov] Neurocardiogenic (vasovagal) syncope is characterized by hypotension and bradycardia. [ncbi.nlm.nih.gov] In these cases additional measures should be used to counteract hypotension. [ncbi.nlm.nih.gov] Acute Renal Failure […] by hypotension was similar in the two groups. [ncbi.nlm.nih.gov] and 0 point for not having hypotension; 0 point for ATN-ISI score Table 5 Prognostic score of 90-day mortality in hospitalized patients with acute kidney injury. [doi.org] Our results showed that Patient's age, AKI types, respiratory failure, central nervous system failure, hypotension, and acute tubular necrosis-individual severity index (ATN-ISI [ncbi.nlm.nih.gov] Sepsis Septic shock is defined as hypotension with a mean arterial pressure less than 65 mm Hg, requiring vasopressors despite adequate fluid resuscitation and/or lactic acid levels [ncbi.nlm.nih.gov] Definitions for severe sepsis, septic shock, hypotension, and multiple organ dysfunction syndrome were also offered. [ncbi.nlm.nih.gov] Administration of 30 ml/kg IV crystalloid for hypotension or lactate 4 mmol/L. [cdemcurriculum.com] Iron Deficiency Anemia Analyzed safety concerns include gastrointestinal side effects (oral iron) and risks of hypotension, anaphylaxis, infection, hypophosphatemia, oxidative stress and mortality [ncbi.nlm.nih.gov] Some patients report a numb sensation in their head, and others have reported blurred vision caused by hypotension behind the eye due to a lack of oxygen and pressure; these [en.wikipedia.org] […] begins by assessment of the airway, breathing, and circulation followed by a medical history and physical examination.[2] Signs that represent significant severity include hypotension [en.wikipedia.org] Acidosis Incidence of hypotension did not differ between groups (54.5% vs. 61.9%, p .63). [ncbi.nlm.nih.gov] This resulted in progressive fetal hypoxaemia, acidosis and hypotension. [dictionary.cambridge.org] Intravenous crystalloid should be administered initially to resuscitate hypotensive patients. [calpoison.org] Syncope We reported a 75-year-old man who had recurrent syncope attacks secondary to hypotension and reduced plasma norepinephrine (NE) levels. [ncbi.nlm.nih.gov] The modifying influence of prolonged antihypertensive treatment on the tolerance to acute, drug-induced hypotension. Circulation 1976;53:720–727. [innovationsincrm.com] A 25-year-old man was admitted to the hospital because of abdominal pain, syncope, and hypotension that occurred while he was lifting heavy boxes. [nejm.org] Acute Coronary Syndrome Patients present with hypotension and distended neck veins, but without signs of pulmonary odema. [rcemlearning.co.uk] S3/S4, APO, edema, distended tender liver) Look for any evidence of cardiogenic shock (altered mental state, poor skin perfusion /- hypotension) Clinical Risk Stratification [litfl.com] tachycardia, hypotension or anemia). [ncbi.nlm.nih.gov] Congestive Heart Failure After cardioversion, refractory hypotension and cardiopulmonary arrest occurred. An arterial blood gas analysis showed marked lactic acidosis. [ncbi.nlm.nih.gov] Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension. [ncbi.nlm.nih.gov] However, the patient's renal function and hyperkalemia worsened, and the blood eosinophil count increased without signs of dehydration or hypotension. [ncbi.nlm.nih.gov] Pulmonary Edema However, its use continues to be controversial due to concerns of drug induced hypotension, syncope or paresthesia. [ncbi.nlm.nih.gov] Hypotension - the triad of hypotension (systolic blood pressure cardiogenic shock. [patient.info] This may need to be repeated based on response of clinical symptoms - diuretic effectiveness is greatly reduced in the presence of hypotension and when patients have been [patient.info] Diabetic Autonomic Neuropathy Abstract Postural hypotension is uncommon in diabetes but can occur secondary to autonomic neuropathy. [ncbi.nlm.nih.gov] Abstract Postural hypotension results from sympathetic failure to cause superior peripheral vasoconstriction. [ncbi.nlm.nih.gov] The management of the patient's blood pressure problems (supine hypertension) and symptomatic postural hypotension is discussed. [ncbi.nlm.nih.gov] Acute Myocardial Infarction On the second hospital day, hypotension and a new cardiac murmur was found. The emergency echocardiographic study disclosed a ventricular septal defect. [ncbi.nlm.nih.gov] Hypotension : Hypotension may occur in various settings following acute MI. [brown.edu] Their results were mixed: IV magnesium reduced the incidence of serious arrhythmias, but this treatment also increased the incidence of profound hypotension, bradycardia and [cochrane.org] Hypovolemia Although hypovolemia may intuitively seem a likely cause for hypotension in intensive care patients, its role in the pathogenesis of intradialytic hypotension may be overestimated [ncbi.nlm.nih.gov] KEYWORDS: Blood donation; Blood pressure variability; Heart rate; Heart rate variability; Non-hypotensive hypovolemia [ncbi.nlm.nih.gov] Dr Chris O'Donnell Diagnosis certain Diagnosis certain Presentation MVA with signs of marked blood loss Patient Data Age: 25 Gender: Male From the case: Hypovolemia and hypotension [radiopaedia.org] Autonomic Neuropathy We present a unique case of orthostatic hypotension as the sole feature of a CRMP-5 paraneoplastic autonomic neuropathy in a patient with small cell lung cancer. [ncbi.nlm.nih.gov] The bladder problems tend to improve earlier than orthostatic hypotension. [ncbi.nlm.nih.gov] CAN was assessed by 5 CARTs: the deep breathing test, Valsalva ratio, 30/15 ratio, handgrip and orthostatic hypotension test. [ncbi.nlm.nih.gov] Pulmonary Embolism Ultimately, insufficient cardiac output from the RV causes left ventricular under-filling which results in systemic hypotension and cardiovascular collapse. [ncbi.nlm.nih.gov] During admission, the patient developed sudden, severe hypotension that was refractory to treatment. [ncbi.nlm.nih.gov] KEYWORDS: Cardiopulmonary arrest; Hypotension; Surgical embolectomy; Thrombolysis [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov] Chronic Fatigue Syndrome The relationship between neurally mediated hypotension and the chronic fatigue syndrome. JAMA. 1995;274:961–7. 21. [aafp.org] Treatment of Neurally Mediated Hypotension Orthostatic intolerance has been observed frequently in patients with CFS. [practicalpainmanagement.com] […] variants of orthostatic hypotension and orthostatic tachycardia also being seen. [nap.edu] Upper Gastrointestinal Bleeding Worrisome signs are tachycardia, hypotension (systolic blood pressure 90 mm Hg), orthostatic hypotension, and findings indicative of poor perfusion such as cool extremities [symptoma.com] […] fraught with pitfalls, not least because spotting those patients who are suffering significant bleeding can be difficult amongst the majority of referrals who are ill and hypotensive [ueg.eu] […] been significant blood loss (1500-2000mls), so if hypotension is present this is a concerning sign. [geekymedics.com] Hypotension Hypotension [en.wikipedia.org] Transient hypotension has been reported as a rare complication of WE. [ncbi.nlm.nih.gov] NOS, Hypotension, unspecified, Hypotension, Vascular, Vascular Hypotension, Low Blood Pressure, hypotension (diagnosis), hypotension, hypotension (physical finding), hypotension [fpnotebook.com] Gastrointestinal Hemorrhage Tachycardia and Orthostatic Hypotension. There have been discussions in the literature about other findings to rule in/out upper GI bleeding. [mdedge.com] […] fraught with pitfalls, not least because spotting those patients who are suffering significant bleeding can be difficult amongst the majority of referrals who are ill and hypotensive [ueg.eu] […] been significant blood loss (1500-2000mls), so if hypotension is present this is a concerning sign. [geekymedics.com] Dehydration A review of the anesthesia record from the study revealed that the patient was hypotensive. [ncbi.nlm.nih.gov] Abstract Systemic vascular disorders, leading to childhood stroke, include volume depletion or systemic hypotension and hypernatremic dehydration. [ncbi.nlm.nih.gov] She had moderated to severe dehydration but no hypotension. [ncbi.nlm.nih.gov] Low-Cardiac-Output Syndrome […] supraventricular arrhythmias, development of LCOS, acute kidney injury (AKI), duration of mechanical ventilation, intensive care unit and hospital lengths of stay, and incidence of hypotension [ncbi.nlm.nih.gov] […] whereas 94% of those surveyed sometimes or always administer corticosteroids to patients with severe low cardiac output syndrome (two or more vasoactive agents and persistent hypotension [ncbi.nlm.nih.gov] Etiology Syndrome ass. with CV instability and hypotension. • Sepsis ( Hypotension with ed SVR) • Anaphylactic reaction (blood products, drugs) • Adrenal insufficiency (primary [slideshare.net] Atrial Flutter Immediately post-cardioversion, he suffered severe hypotension with a depressed LV systolic function. IV dobutamine stabilized his blood pressure. [ncbi.nlm.nih.gov] Six weeks after his second procedure, while performing intense sprint intervals on a treadmill, he developed an abrupt onset of chest pain, hypotension, and cardiac tamponade [ncbi.nlm.nih.gov] Loading dose of landiolol hydrochloride 7.5 mg followed by 1.5-3 μg/kg/min continuous administration was given, which had decreased the conduction ratio to 2:1 without causing hypotension [ncbi.nlm.nih.gov] Opiate Overdose Hypotension. Hypothyroidism. Asthma (avoid during an attack) and decreased respiratory reserve. Prostatic hypertrophy. [patient.info] Findings: Symptoms and Signs Altered Level of Consciousness (CNS depression or sedation) Coma Lethargy Stupor Hypotension Miosis (except Demerol which causes Mydriasis ) Pulmonary [fpnotebook.com] Because endogenous opioids and mu-receptors mediate vascular tone, naloxone can cause hypotensive patients who haven't taken any opioids to have a rise in blood pressure and [pulmccm.org]
