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Orthostatic hypotension, also called postural hypotension, is a sudden fall in blood pressure that occurs when you stand up quickly. Hypotension is the term for low blood pressure. Blood pressure is the force of your blood against the walls of your arteries. When you stand up, gravity pulls blood into your legs, and your blood pressure begins to fall. Certain reflexes in your body compensate for this change.
Subtract values 3 minutes after standing (or if patient cannot stand, then sitting) from lying values. A decline of â¥20mm Hg in systolic or â¥10 mm Hg in diastolic blood pressure after 3 minutes of standing = orthostatic hypotension. A heart rate increase of at least 30 beats per minute after 3 minutes of standing may suggest hypovolemia, independent of whether the patient meets criteria for orthostatic hypotension.