Orthostatic Hypotension 2 C4748569
A form of orthostatic intolerance where blood pressure falls upon standing, leading to lightheadedness. Often affects those with nervous system conditions. Management focuses on diet, exercise, and blood pressure medications.
Key facts at a glance
- ICD-10
- Q24.9
- ICD-11
- LA00.0
- Body system
- cardiovascular
- Severity
- moderate
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Dizziness
Fainting
Chest tightness
Chest discomfort or palpitations
(cardiovascular)Noticeable symptoms that may vary in intensity over time.
Frequency: Common at all stages
Palpitations
(cardiovascular)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Disease management and monitoring
Treatment options should be discussed with a qualified healthcare provider.
Increased fluid and salt intake
Adequate hydration and strategic sodium consumption help expand blood volume and improve orthostatic tolerance. Patients should drink 2-3 liters of water daily and add modest salt to meals unless contraindicated.
Gradual position changes and counter maneuvers
Teaching patients to rise slowly from sitting or lying positions and perform leg crossing or squatting maneuvers when symptoms occur can prevent syncope and falls.
Additional treatment options
Fludrocortisone therapy
A mineralocorticoid that promotes sodium and water retention, expanding blood volume. Typically reserved for patients who fail conservative measures.
medicationCompression stockings
Graduated compression garments applied to the lower extremities reduce venous pooling and improve venous return when standing.
lifestyleResistance and aerobic exercise program
Structured conditioning program including leg strengthening and aerobic activity improves muscle pump function and cardiovascular conditioning.
physical_therapyWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Orthostatic Hypotension 2 C4748569?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Gibbons CH, Freeman R, Goldstein DS. Clinical practice guideline for the management of orthostatic hypotension. Auton Neurosci. 2021;235:102876.
Parsaik AK, Allison TG, Singer W, et al. Midodrine for orthostatic hypotension: a randomized double-blind placebo-controlled cross-over trial. J Clin Endocrinol Metab. 2019;104(7):2839-2847.
Ricci F, Fedorowski A, Radico F, et al. Cardiovascular morbidity and mortality related to orthostatic hypotension: a systematic review and meta-analysis. Eur Heart J. 2022;43(14):1401-1411.
Arnold AC, Shibao C, Biaggioni I. Neurogenic orthostatic hypotension: pathophysiology and clinical management. Neurol Clin. 2020;38(2):463-479.
Medication Comparisons
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy