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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.
Orthostatic Hypotension. NOTE: This is the Professional Version. Orthostatic (postural) hypotension is an excessive fall in BP when an upright position is assumed. The consensus definition is a drop of > 20 mm Hg systolic, 10 mm Hg diastolic, or both.