Diagnosing Orthostatic Hypotension: What Tests Are Used?
Published: Sep 22, 2023
Diagnosing orthostatic hypotension involves measuring blood pressure changes when standing. Learn about the tests that doctors use to identify this condition.
Contents
Standard Blood Pressure Tests
Diagnosis typically involves comparing blood pressure in supine and standing positions. A drop of 20 mmHg in systolic or 10 mmHg in diastolic pressure within three minutes indicates orthostatic hypotension.
Advanced Monitoring Techniques
For more detailed diagnosis, continuous blood pressure monitoring or tilt table testing may be used. These tests help identify short-lived fluctuations and provide a clearer picture of the condition.

Identifying Underlying Causes
Additional tests like blood tests and ECGs can help find underlying causes such as anemia or dehydration. Identifying these can aid in tailoring treatment to each patient's specific needs.
Frequently Asked Questions
By measuring blood pressure changes when standing.
It's a test that monitors blood pressure changes in different positions.
They help find underlying causes like anemia.
A drop of 20 mmHg systolic or 10 mmHg diastolic.
The Bottom Line
Accurate diagnosis through appropriate tests is crucial for managing orthostatic hypotension effectively.
References
- Gangavati A, Hajjar I, Quach L, et al. Hypertension, orthostatic hypotension, and the risk of falls. J Am Geriatr Soc 2011; 59:383.
- Gupta V, Lipsitz LA. Orthostatic hypotension in the elderly: diagnosis and treatment. Am J Med 2007; 120:841.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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