It is a sudden drop in blood pressure, which is noted as the patient is
quickly returned to an upright position in the dental chair.
Orthostatic hypotension is defined as a decrease in systolic blood
pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm
Hg within three minutes of standing when compared with blood pressure
from the sitting or supine position.
This condition is due to disturbances of the autonomic nervous system,
and is the second most frequently observe cause of transient loss of
consciousness in the dental patient after fainting.
Almost any disease of the spinal cord can be accompanied by orthostatic
hypotension. Many conditions usually manifesting as peripheral
neuropathies can be accompanying autonomic neuropathy and orthostatic
hypotension. These include amyloidosis, Guillain-Barré syndrome,
diabetes, bronchogenic carcinoma.
What is orthostatic hypotension?
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