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Hypotension

life science Maturity 11-13 Next article →

Blood pressure is the force of blood pushing against your artery walls. Your heart acts like a pump to move blood through these tubes. Doctors use two numbers to measure this force. The top number is called systolic pressure. It shows the maximum pressure during a heartbeat. The bottom number is called diastolic pressure. This shows the minimum pressure between heartbeats.

Depiction of a hypotension (low blood pressure) patient getting her blood pressure checked
Depiction of a hypotension (low blood pressure) patient getting her blood pressure checked

Hypotension is the name for low blood pressure. This happens when the top number is less than 90 mmHg. It also happens if the bottom number is less than 60 mmHg. For many people, low pressure is a normal state. It might even be common for people who are very fit. However, it can be a problem if it causes symptoms. Some people feel dizzy, tired, or weak. Others might have a headache or blurred vision. In serious cases, it can lead to fainting or shock.

Many different things can cause blood pressure to drop. One common cause is low blood volume, known as hypovolemia. This can happen if you do not drink enough water. It can also happen if you lose blood from an injury. Other causes include hormonal changes or heart problems. Some medicines, like beta blockers, can also lower pressure. Even eating a large meal can cause a drop. This is called postprandial hypotension. It happens because blood moves to your gut to help digestion.

There are also specific ways that blood pressure drops. Orthostatic hypotension happens when you change your position. This often occurs when you stand up from sitting or lying down. Your body might have a delay in adjusting its pressure. Another type is vasovagal syncope. This is caused by increased activity in the vagus nerve. This can lead to sweating and a loss of consciousness. Doctors use special tests to find these patterns. They might use a tilt table test to check your response.

Doctors treat hypotension based on what caused it. If you are dehydrated, you might need more fluids. Sometimes, doctors use intravenous fluids to help quickly. They may also use medicines called vasopressors to raise pressure. In a hospital, they might measure mean arterial pressure, or MAP. For adults, they often try to keep this above 65 mmHg. Understanding these numbers helps doctors keep your vital organs safe. They ensure your brain and heart get enough oxygen and nutrients.

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