Severe-hypotension: Causes & Reasons

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Possible Causes for severe hypotension

Orthostatic Hypotension

Here we consider the evidence for midodrine in the treatment of severe orthostatic hypotension and how it fits with current management strategies. [ncbi.nlm.nih.gov]

A 71-year-old man, who was diagnosed with familial amyloidosis type I, was admitted for treatment of severe orthostatic hypotension associated with recurrent syncopal attacks [ncbi.nlm.nih.gov]

Weissmann P, Chin MT, Moss AJ (1992) Cardiac tachypacing for severe refractory idiopathic orthostatic hypotension. [link.springer.com]

Orthostatic Intolerance due to NET Deficiency

A cup of coffee or tea with each meal tends to reduce the severity of orthostatic hypotension. [betterhealth.vic.gov.au]

[…] total MSNA withdrawal mediates arteriolar vasodilation, resulting in severe hypotension and syncope. [journal.frontiersin.org]

[…] orthostatic hypotension, Journal of the American College of Cardiology, 37, 1, (219), (2001). [dx.doi.org]

Hypotension

In this report, we present a patient who developed severe hypotension during treadmill exercise test, even though there were no perfusion defects during adenosine-induced [ncbi.nlm.nih.gov]

Initially, she had severe systemic hypotension (41/17 mm Hg). [ncbi.nlm.nih.gov]

This case report is the first to demonstrate severe intraoperative hypotension and urticaria from dermographism. [ncbi.nlm.nih.gov]

Capillary Leak Syndrome

Adult subjects with systemic capillary leak syndrome (SCLS) present with acute and recurrent episodes of vascular leak manifesting as severe hypotension, hypoalbuminemia, [ncbi.nlm.nih.gov]

Idiopathic systemic capillary leak syndrome (SCLS) is a rare process characterized by acute and recurrent episodes of vascular leakage with severe hypotension, hypoalbuminemia [ncbi.nlm.nih.gov]

It is characterized by recurrent episodes of generalized edema and severe hypotension along with hypoproteinemia. [ncbi.nlm.nih.gov]

Dopamine Beta-Hydroxylase Deficiency

DbetaH deficiency is mainly characterized by cardiovascular disorders and severe orthostatic hypotension. [ncbi.nlm.nih.gov]

The most important clinical feature is a severe orthostatic hypotension. [ncbi.nlm.nih.gov]

The hypotension may be so severe that clonic seizures supervene. Most currently recognized patients are young or middle-aged adults. [hyper.ahajournals.org]

Bolivian Hemorrhagic Fever

The disease in infected animals was also characterized by the development of hypotension and coagulation abnormalities as indicated by severe thrombocytopenia and prolongation [ajtmh.org]

Hypotension may also have been due to decreased plasma protein synthesis. [ajtmh.org]

[…] likely causes of the hemorrhagic tendencies of this disease in infected monkeys were thrombocytopenia and decreased synthesis of coagulation and other plasma proteins due to severe [ajtmh.org]

Argentinian Hemorrhagic Fever

shock, severe myalgia, leukopenia, thrombocytopenia, transient hypocomplementemia Management Rehydration; high–15-45% mortality may to 1-4% with convalescent serum- specific [medical-dictionary.thefreedictionary.com]

Body systems harmed by Argentine hemorrhagic fever Severe cases of AHF may progress to: Shock Pulmonary edema Diffuse mucosal hemorrhaging Meningoencephalitis with convulsions [naturalpedia.com]

Rodent vectors Akodon arenicola, Calomys laucha, C musculinus Clinical 1-2 wk incubation, followed by mucocutaneous hemorrhage, fever, anorexia, N&V, fluid loss and oliguria, hypotension [medical-dictionary.thefreedictionary.com]

Lassa Fever

Haemorrhage Hypotension Pleural Effusion Seizures Swelling of Face and Neck Approximately 15% of hospitalized patients die. [whereincity.com]

Although she was hypotensive, she was not orthostatic. [ncbi.nlm.nih.gov]

Visceral hemorrhage, respiratory distress, facial edema and hypotension is frequently encountered. [symptoma.com]

Venezuelan Hemorrhagic Fever

Viral hemorrhagic fevers (VHFs) are a group of febrile illnesses caused by RNA viruses from several viral families. [emedicine.medscape.com]

[…] highly infectious viruses lead to a potentially lethal disease syndrome characterized by fever, malaise, vomiting, mucosal and gastrointestinal (GI) bleeding, edema, and hypotension [emedicine.medscape.com]

Micturition Syncope

To describe a case of severe hypotension and occasional syncope following intermittent catheterisations in a tetraplegic patient. [ncbi.nlm.nih.gov]

Objective: To describe a case of severe hypotension and occasional syncope following intermittent catheterisations in a tetraplegic patient. [nature.com]

A 47-year-old man presenting with C7 ASIA B tetraplegia for 9 months, developed episodes of severe hypotension and occasional syncope following intermittent catheterisations [ncbi.nlm.nih.gov]

Acute Gastroenteritis

Severe volume depletion can cause bradycardia; deep, erratic respirations; and hypothermia.2 [contemporaryclinic.pharmacytimes.com]

Severe volume depletion can cause bradycardia; deep, erratic respirations; and hypothermia. 2 [contemporaryclinic.pharmacytimes.com]

Assess for features of dehydration: Mild dehydration: lassitude, anorexia, nausea, light-headedness, postural hypotension. [patient.info]

Kounis Syndrome

Five minutes after receiving a vial of intravenous metamizole, she started to show generalized urticaria, chest pain, and intense dyspnea, accompanied by severe hypotension [revespcardiol.org]

Physical examination demonstrated a heart rate of 30 bpm and severe hypotension (60/40 mmHg). [signavitae.com]

Acetaminophen (Tylenol or paracetamol), especially its intravenous administration, is not recommended because it might cause severe hypotension due to reduction of cardiac [tmsforacure.org]

Bronchitis

[…] patients have also reported severe head pains, many of which lead to permanent brain damage. [en.wikipedia.org]

[…] include hypotension, hypoxemia, tracheal deviation, altered mental status, unstable dysrhythmia, stridor, intercostal indrawing, cyanosis, tripod positioning, pronounced [en.wikipedia.org]

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]

Acute Bronchitis

[…] patients have also reported severe head pains, many of which lead to permanent brain damage. [en.wikipedia.org]

[…] include hypotension, hypoxemia, tracheal deviation, altered mental status, unstable dysrhythmia, stridor, intercostal indrawing, cyanosis, tripod positioning, pronounced [en.wikipedia.org]

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]

Acute Alcohol Intoxication

hypotension and hypothermia caused by acute ethanol toxicity, Emerg Med J, 2007, vol. 24 pg. e7 Children and adolescents with acute alcohol intoxication/self-poisoning presenting [academic.oup.com]

By contrast, Lacouture et al. ( 126 ) found that severe hypotension with coma was found only with serum isopropanol levels 400 mg/dl. [cjasn.asnjournals.org]

With more severe intoxication, miosis, hypothermia, hypotension, bradycardia and respiratory suppression, stupor and coma may occur. [clinicaladvisor.com]

Upper Respiratory Infection

Its alpha-agonist effects include increased peripheral vascular resistance, reversed peripheral vasodilatation, systemic hypotension, and vascular permeability. [emedicine.medscape.com]

Epinephrine (Adrenalin, EpiPen, Twinject) View full drug information Epinephrine is used for severe bronchoconstriction, especially with underlying reactive airway disease [emedicine.medscape.com]

Urinary Tract Infection

[…] and other signs of severe sepsis, whereas a 7 day regimen should suffice for those with a lower UTI. 3 A 3 day course is usually not sufficient and is thus not recommended [doi.org]

[…] non-inferior to ciprofloxacin for 10 days in cUTI and acute pyelonephritis. 31 Ten to fourteen days of antibiotics are usually recommended for patients with bacteraemia, hypotension [doi.org]

Bilateral Massive Adrenal Hemorrhage

At admission, the man presented with fever, severe hypotension, hyperazotemia, acidosis, normonatremia and hypocoagulability, while the girl with severe hypotension, fever [ncbi.nlm.nih.gov]

Invasive monitoring may demonstrate severe hypotension ( 4 L/min/m2), low systemic vascular resistance ( FIGURE 72-1. [mitchmedical.us]

During the postoperative period, the patient presented abdominal pain, nausea, fever, hypotension and severe respiratory distress. [elsevier.es]

Insect Bite

vomiting, respiratory symptoms, tachycardia, hypotension and possibly anaphylactic shock. [symptoma.com]

After about 2 hours the muscle fasiculations and most symptoms start to subside, and are replaced with insidious but profound hypotension, primarily due to severe cardiac [anaesthesia.med.usyd.edu.au]

If previous exposure to insect allergens led to mast cell sensitization, an insect bite may trigger a type I hypersensitivity reaction manifesting in severe urticaria, pruritus [symptoma.com]

Vaginal Candidiasis

upper airway obstruction, bronchospasm, or hypotension). Re-administration of penicillin to these patients can cause severe, immediate reactions. [web.archive.org]

Hypertensive Crisis

May cause severe hypotension, acute MI, stroke, and death due to: Uncontrollable decrease in BP Peripheral vasodilation producing steal phenomena Reflex effects including [quizlet.com]

Sublingual products or products that require "bite and chew" should be avoided to prevent severe hypotension. [pharmacytimes.com]

Shy-Drager Syndrome

The initial hypertension in the supine position followed by severe hypotension after hydralazine administration, ultimately responsive to vasopressin, led to a diagnosis of [ncbi.nlm.nih.gov]

The use of vasopressin for severe hypotension in patients with autonomic dysfunction unresponsive to vasopressors should be considered. References 1. [journals.lww.com]

The initial hypertension was treated with a direct vasodilator (hydralazine) which resulted in severe hypotension unresponsive to adrenergic agonists. [journals.lww.com]

Acute Cystitis

[…] and other signs of severe sepsis, whereas a 7 day regimen should suffice for those with a lower UTI. 3 A 3 day course is usually not sufficient and is thus not recommended [doi.org]

[…] non-inferior to ciprofloxacin for 10 days in cUTI and acute pyelonephritis. 31 Ten to fourteen days of antibiotics are usually recommended for patients with bacteraemia, hypotension [doi.org]

Acute Massive Pulmonary Embolism

Six hours postoperatively, she required emergent intubation when she suddenly became cyanotic, severely hypotensive, and tachypneic, with an oxygen saturation of 50%. [ncbi.nlm.nih.gov]

In the setting of severe hypotension, the finding of RV dysfunction is enough to prompt rapid reperfusion. [emdocs.net]

[xix] In the setting of cardiac arrest or severe hypotension, immediate CT angiography may not be feasible. [emdocs.net]

Sheehan Syndrome

It is usually the result of severe hypotension or shock caused by massive hemorrhage during or after delivery. [ncbi.nlm.nih.gov]

Constipation

[…] and severe constipation with ileus mt PARTIJIET KONTRAENTI GĦOLJA en Mouth ulceration, constipation, Vomiting mt Hemm evidenza prima facie li dawn is-sussidji restrutturali [glosbe.com]

[…] kkontrollati bħala aġenti tal-ipproċessar en In addition to peripheral neuropathy, there may be a contribution of autonomic neuropathy to some adverse reactions such as postural hypotension [glosbe.com]

Hypersensitivity

Systemic reactions are further reported as systemic reactions not further classified (usually wheezing and urticaria) (SR), near‐fatal reactions (severe hypotension and/or [doi.org]

Re-challenge can result in a more rapid, severe and potentially life-threatening reaction. [ncbi.nlm.nih.gov]

The authors present 2 case reports of selective cefazolin hypersensitivity: a 49 year-old woman with a history of two perioperative reactions (urticaria and severe anaphylaxis [ncbi.nlm.nih.gov]

Iron Deficiency

[…] patients have also reported severe head pains, many of which lead to permanent brain damage. [en.wikipedia.org]

Other serious or severe adverse reactions potentially associated with hypersensitivity which included, but were not limited to, pruritus, rash, urticaria, wheezing, or hypotension [injectafer.com]

[…] include hypotension, hypoxemia, tracheal deviation, altered mental status, unstable dysrhythmia, stridor, intercostal indrawing, cyanosis, tripod positioning, pronounced [en.wikipedia.org]

Anemia

[…] patients have also reported severe head pains, many of which lead to permanent brain damage. [en.wikipedia.org]

Complications The most serious complications of severe anemia arise from tissue hypoxia. Shock, hypotension, or coronary and pulmonary insufficiency can occur. [web.archive.org]

Neonates are generally pale and, if anemia is severe, have tachypnea, tachycardia, and sometimes a flow murmur; hypotension is present with acute blood loss. [merckmanuals.com]

Hyperventilation

In this example, independent of systemic hypotension, the severe hyperventilation and related hypocapnia (end-tidal PET(CO2)) induced by orthostatic stress (lower body negative [ncbi.nlm.nih.gov]