orthostatic hypotension with hypertension

The coexistence of orthostatic hypotension and hypertension represents a unique cardiovascular condition. Patients with this condition experience a drop in blood pressure upon changing positions, yet exhibit hypertension at other times. Several factors may contribute to this scenario, including dysregulation of the autonomic nervous system, cardiovascular diseases, and adverse effects of medications.

Initially, mild orthostatic hypotension can result from prolonged standing or the abrupt transition from a sitting or lying position, causing a gravitational shift in blood distribution—a phenomenon also observed in healthy individuals. Furthermore, certain medications, such as antihypertensives and diuretics, may induce orthostatic hypotension. Additionally, diseases like Parkinson's and diabetes can impair the autonomic nervous system, leading to orthostatic hypotension. Severe cases of orthostatic hypotension may also be associated with cardiovascular conditions, including heart failure and coronary artery disease.

For individuals with orthostatic hypotension alongside hypertension, it is crucial to avoid sudden postural changes in daily activities and to maintain an adequate intake of fluids and electrolytes to keep blood volume stable. Regular blood pressure monitoring and adherence to prescribed medication adjustments are also essential. Should symptoms like dizziness or fatigue arise, immediate medical consultation is advised to facilitate timely adjustments to the treatment regimen.