The most prevalent cause of symptoms associated with orthostatic hypotension is a decrease in the amount of fluid in the blood vessels. This might occur as a result of dehydration caused by diarrhea, vomiting, or the use of medications such as diuretics or water tablets, among other things.
A typical complication of the elderly is progressive orthostatic hypotension. This is due to age-related degradation in baroreflex-mediated vasoconstriction and chronotropic responses of the heart, as well as degeneration of the diastolic filling of the heart (2).
Individuals over the age of 65 are more vulnerable, particularly those with high blood pressure or autonomic nervous system dysfunction. The frequent cause of dizziness and falls after eating is hypotension, which occurs shortly after eating. This is especially prevalent after a substantial meal that contains a high concentration of carbs.
Head-up sleeping reduces orthostatic hypotension and associated symptoms whether used alone or in conjunction with medications. This position helps to maintain renin-angiotensin activation (which helps to keep plasma volume stable during the morning) while also avoiding the pressure natriuresis and hypovolaemia that can occur with supine high blood pressure.
A prevalent condition among older people, orthostatic hypotension is associated with considerable morbidity and death, according to the American Heart Association.
Asymptomatic orthostatic hypotension, defined as a fall in systolic blood pressure of 20 mm Hg or higher, or a decrease in diastolic blood pressure of 10 mm Hg or larger, was seen in 16.2 percent of the participants. When the criterion was expanded to include those who had their surgery aborted owing to dizziness upon standing, the prevalence jumped to 18.2 percent.
Hypoperfusion of other organs in persons with orthostatic hypotension adds to an increased risk of life-threatening health conditions, such as heart attack or heart failure, a heart rhythm irregularity known as atrial fibrillation, a stroke, or chronic kidney failure.
Drugs. When used to treat neurogenic orthostatic hypotension, midodrine, a vasopressor, has been shown to be both efficacious and safe. Studies have indicated that it can raise standing systolic blood pressure, lower orthostatic lightheadedness, and increase the amount of time spent standing and walking.
In our case report on Pacemaker tapping, we proved for the first time that the procedure was effective in alleviating the symptoms of orthostatic hypotension.