Chronic Hypotension: Causes & Reasons

Possible Causes for Chronic Hypotension

Chronic orthostatic hypotension becomes relatively common with aging and the presence of frailty, but it can present insidiously and atypically. [consultant360.com]

INTRODUCTION: Midlife hypertension is associated with dementia in longitudinal studies while chronic hypotension in the elderly is associated with dementia onset. [ncbi.nlm.nih.gov]

Orthostatic hypotension may be acute or chronic, as well as symptomatic or asymptomatic. [aafp.org]

Shy-Drager Syndrome

CHRONIC orthostatic hypotension may develop in the course of a number of different neurologic diseases.1-3 Among others, we have encountered it in multiple sclerosis and in [jamanetwork.com]

When the chronic orthostatic hypotension antedates other neurological involvement, it may be very difficult to differentiate MSA from the more benign pure autonomic failure [mc.vanderbilt.edu]

A dictionary of medical eponyms Related people George Milton Shy Glenn Albert Drager A progressive disorder of the autonomic nervous system in which chronic orthostatic [whonamedit.com]

Hypopituitarism

This form of hypotension, called chronic asymptomatic hypotension, isn’t usually harmful. [healthline.com]

There are different types of low blood pressure (hypotension). Some of the types are chronic while others are temporary. [my.clevelandclinic.org]

chronic hyponatremia, hypoglycemia (see adrenal insufficiency) Central diabetes insipidus: : polyuria, polydipsia Intrasellar/parasellar masses (e.g., pituitary macroadenomas [amboss.com]

Congestive Heart Failure

Therefore, ASV may be effective for treating CHF in HD patients with LV dysfunction and chronic hypotension. [ncbi.nlm.nih.gov]

Chronic kidney disease, heart failure, sedatives, and hypoventilation might have contributed to refractory hypotension due to severe acidosis in this case. [ncbi.nlm.nih.gov]

[…] hypertension; 2) the patient with profound depression of cardiac output manifested by hypotension, renal insufficiency, and/or a shock syndrome, and 3) the patient with signs [doi.org]

Addison Disease

Depends on the course of the disease: acute stage: the patient presents with fever, back pain, hypotension, weakness chronic stage : progressive lethargy, weakness, cutaneous [radiopaedia.org]

The patient also exhibited general fatigue, pigmentation, weight loss, hypotension and hyponatremia, suggestive of chronic adrenocortical insufficiency. [ncbi.nlm.nih.gov]

Orthostatic hypotension, fever, and hypoglycemia characterize acute adrenal crisis, whereas chronic primary adrenal insufficiency presents with a more insidious history of [ncbi.nlm.nih.gov]

Autonomic Nervous System Disorder

Hypotension (Low Blood Pressure) Chronic low blood pressure is often due to sympathetic weakness or parasympathetic excess while upright. [nemechekconsultativemedicine.com]

Chronic renal failure g. Systemic lupus eryrhematosus h. Mixed connective tissue disease i. Fabry’s disease j. Chronic inflammatory neuropathy 18. [slideshare.net]

Postural hypotension enhanced by exercise in patients with chronic autonomic failure. QJM 1995 ; 88 : 251 –6. Stewart JM, Weldon A. [jnnp.bmj.com]

Hypothyroidism

Fatigue Yes Yes Orthostatic Hypotension Frequent No Blood Sugar Levels Tendency toward hypoglycemia Normal to hyperglycemia Heart Palpitation Frequent No GI function Irritable [drlam.com]

No Yes Pain Headache, muscular, migraines Joints, muscles Reactivity Heightened and hyper-reactive Hypo-reactive Medical condition History of Infections Common Occasional Chronic [drlam.com]

Cardiomyopathy

Patients diagnosed with Restrictive Cardiomyopathy will present with the following signs and symptoms: Shortness of breath Exercise intolerance Chronic fatigue Paroxysmal [symptoma.com]

Nocturnal Dyspnea (PND) Abdominal distention Bilateral peripheral edema Palpitation Orthostatic hypotension Patients diagnosed with Dilated Cardiomyopathy will present with [symptoma.com]

Renal Salt-Wasting Syndrome

[…] arterial hypotension and orthostatic hypotension. [nature.com]

The loss of peripheral vascular resistance in patients with impairment of sympathetic vascular innervation after cervical and upper thoracic cord injuries results in chronic [nature.com]

Hypovolemia

Because of the small number of patients with concomitant diseases and receiving medications chronically, we did not perform quantitative analysis. [anesthesiology.pubs.asahq.org]

The authors studied the role of rate of infusion in this observation in chronically prepared dogs (aortic flow probe, right atrial pressure and volume, and arterial catheters [trauma.org]

The demographic data of the 33 study participants who tolerated gradual 20% blood withdrawal without significant hypotension are presented in table 1. [anesthesiology.pubs.asahq.org]

Aortic Valve Stenosis

Chronic HF patients undergoing hemodynamic tailoring with a low-dose β-agonist or PDI can usually be monitored noninvasively. [doi.org]

[…] with an arterial line is essential both to monitor the status of the underlying illness and because inotropes and vasopressors have the potential to induce life-threatening hypotension [doi.org]

Panhypopituitarism

[…] and hypothyroidism, can manifest with severe headache, sudden hypotension, and hypovolemic shock. [amboss.com]

Symptoms of persistent adrenal insufficiency include chronic fatigue, anorexia, nausea, vomiting, weight lcn [ 2 ]. [ijpeonline.biomedcentral.com]

[…] including adrenal insufficiency, hypothyroidism, developmental delay, hydrocephalus, dyslipidemia, mild hyponatremia, chronic anxiety, seizure disorder, depression, and chronic [nursingcenter.com]

Myxedema

Patients may also demonstrate hypotension, bradycardia, hypoventilation, hyponatremia, and hypoglycemia. [openanesthesia.org]

Definition Myxedema coma typically presents as decreased mental status and hypothermia in a patient with either chronic, severe hypothyroidism or any form of hypothyroidism [openanesthesia.org]

Familial Dysautonomia

Progressive renal dysfunction occurs due to chronic volume depletion and cardiovascular lability with supine hypertension and orthostatic hypotension. [ncbi.nlm.nih.gov]

Both the degree of orthostatic hypotension and the age at gastrostomy tube placement have been shown to correlate with progression to more advanced CKD ( 6 ). [cjasn.asnjournals.org]

Orthostatic hypotension without compensatory tachycardia is common. Patients can also experience episodic hypertension in response to emotional stress or visceral pain. [orpha.net]

Adrenal Insufficiency Secondary to Hypopituitarism

Patients with long-standing adrenal insufficiency may present with postural hypotension, nausea, vomiting, weight loss, anorexia, lethargy, depression, and/or chronic hyponatremia [amboss.com]

Patient : A 76-yr-old man with refractory hypotension, acute myocardial infarction, and left ventricular dysfunction, secondary to severe chronic pan-hypopituitarism, associated [link.springer.com]

Failure to recognise adrenal failure in this setting, where warning symptoms and signs (eg, hyponatraemia, hypotension) may overlap with either acute or chronic gastrointestinal [casereports.bmj.com]

Adrenal Destruction

Depends on the course of the disease: acute stage: the patient presents with fever, back pain, hypotension, weakness chronic stage : progressive lethargy, weakness, cutaneous [radiopaedia.org]

refractory shock, poor response to inotropes/pressors fever confusion CHRONIC ADRENAL INSUFFICIENCY GENERAL: weight loss, arthralgia, myalgia CNS: fatigue, anorexia, mood [lifeinthefastlane.com]

[…] most predominant manifestation Fatigue Diarrhea Weakness Lethargy Fever Confusion Coma Anorexia Nausea/vomiting Metabolic acidosis Abdominal pain Patient with underlying chronic [specialty.mims.com]

Anemia

In the preliminary stages, mild form of anemia has no symptoms. However, when the condition progresses, then the individuals experience the following: Poor concentration Feeling tired more often than usual Occurrence of headaches Chest pain Hands and feet become cold Shortness of breath Irregular or fast[…] [symptoma.com]

Vasodilator

However, it can sometimes be problematic for people who experience hypotension or chronic inflammation. [medicalnewstoday.com]

In other cases, doctors may work to reduce vasodilation, as it can worsen conditions such as hypotension and chronic inflammatory diseases. [medicalnewstoday.com]

Some people experience abnormally low blood pressure, or hypotension. [medicalnewstoday.com]

Hemochromatosis

What is hereditary hemochromatosis? Hereditary hemochromatosis is an inherited (genetic) disorder in which there is excessive accumulation of iron in the body (iron overload). It is a common genetic disorder among Caucasians in the United States, affecting approximately 1million people in the United States. Individuals[…] [medicinenet.com]

Mitral Valve Disease

Trends over 25 years show less invasive surgical repair and shorter recovery time A more aggressive approach to treating degenerative mitral valve disease, using earlier surgical intervention and less invasive techniques, is more beneficial to the patient than “watchful waiting,” according to an article in the June[…] [elsevier.com]

Salt Depletion

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Restrictive Cardiomyopathy

BACKGROUND: Some cancer therapies can cause advanced heart failure requiring heart transplantation. Although dilated cardiomyopathy is the most common phenotype, those who receive radiation may develop restrictive cardiomyopathy. The characteristics and transplantation outcomes patients with radiation-induced[…] [ncbi.nlm.nih.gov]

Tricyclic Antidepressant

Arrhythmias Orthostatic hypotension Sedating Dry mouth Urinary retention Tricyclic Antidepressants What are the general clinical uses? [quizlet.com]

Refractor Depression Fibromyalgia and other chronic pain symptoms Tricyclic Antidepressants What is another indication for the use of clomipramine, aside from the general [quizlet.com]

Anterior Pituitary Hypofunction

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Steroid Withdrawal Syndrome

Steroid therapy is frequently used for chronic pain, particularly inflammatory pain states. Steroid withdrawal syndrome can produce a broad array of signs and symptoms, some of which are not well recognized. High fever is among these. We describe several cases with this clinical scenario and review the syndrome in[…] [ncbi.nlm.nih.gov]

Pituitary-Adrenal Axis Suppression

BACKGROUND: Hypothalamic pituitary adrenal axis suppression (HPAS) when treating asthmatic children with inhaled corticosteroids (ICS) is thought to be rare. OBJECTIVE: To determine the prevalence of HPAS in asthmatic children treated with ICS and nasal steroids (NS). METHODS: Twenty-six asthmatic children were[…] [ncbi.nlm.nih.gov]

Bilateral Adrenalectomy

Two cases of recurrent Cushing's syndrome after assumed total bilateral adrenalectomy are presented. Both cases were due to adrenal tissue left at the adrenalectomy. In the first case the lack of preoperative localization of the adrenal remnant caused severe postoperative complications. In the other patient[…] [ncbi.nlm.nih.gov]

Hypotension

Chronic hypotension and modulation of autonomic cardiovascular regulation. [nature.com]

Chronic refractory hypotension (IDH, intradialytic hypotension) is a rare but serious problem encountered in patients on hemodialysis. [ncbi.nlm.nih.gov]

Chronic hypotension rarely exists as more than a symptom. [en.wikipedia.org]

Basilar Artery Thrombosis with Occlusion of a Precerebral Artery

458.0 Orthostatic hypotension 458.1 Chronic hypotension 458.9 Hypotension, unspecified 459 Other disorders of circulatory system 459.0 Hemorrhage, unspecified 459.1 Postphlebitic [csh.org.tw]

I95.89 Other hypotension Chronic hypotension I95.9 Hypotension, unspecified I96 Gangrene, not elsewhere classified [ edit ] Includes: gangrenous cellulitis Excludes1: gangrene [en.wikisource.org]

[…] syndrome 457.1 Other lymphedema 457.2 Lymphangitis 457.8 Other noninfectious disorders of lymphatic channels 457.9 Unspecified noninfectious disorder of lymphatic channels 458 Hypotension [csh.org.tw]

The predominant neurologic abnormalities in individuals with OHS are dysautonomia (e.g., orthostatic hypotension, chronic diarrhea) and subtle neurocognitive deficits. [ncbi.nlm.nih.gov]

Lax skin and joints Bladder diverticula Inguinal hernias Vascular tortuosity Dysautonomia (chronic diarrhea, orthostatic hypotension) Mild cognitive deficits ATP7A-related [ncbi.nlm.nih.gov]

chronic diarrhea). 1 Development Developmental assessment To incl adaptive, cognitive, & speech/language eval Evaluate need for additional educational support. [ncbi.nlm.nih.gov]