What about postural hypotension? Physicians teach you a coup for zero cost and no medication!

postural hypotensionIt is a very common uncomfortable symptom, and sometimes it may not even be regarded as a disease. However, if it occurs in a more vulnerable group (such as the middle-aged and the elderly), it may cause a fall or even a serious fracture. . Therefore, it is recommended that if you have similar symptoms, do not ignore its impact, and learn how to improve and prevent it!

Postural hypotension (IOH), medically defined as: "Intolerance to temporary changes in blood pressure while standing, resulting in discomfort”, such changes in blood pressure occur in the first 15 to 30 seconds after standing upright, with a systolic blood pressure (SBP) drop of more than 40 mmHg, or a diastolic blood pressure (DBP) drop of more than 20 mmHg.

Such a situation often causes people to have symptoms such as dizziness, nausea, blurred vision, etc. In severe cases, they may faint and lose consciousness and fall to the ground. These symptoms occur mainly due to temporary hypoperfusion of the brain due to a temporary drop in blood pressure. Therefore, most people will gradually recover due to the arterial baroreflex after about 45 to 60 seconds.

As for how to improve or prevent this situation? Published in 2022"Heart Rhythm"PeriodicalpaperGreat research data is provided for reference. The research team received 24 female subjects with an average age of about 32 years, all of whom were severe patients with postural hypotension, and asked these people to perform three different ways of standing up (you can also refer to the figure below), They are:

1. Control group: stand up directly without any additional movements.
2. PREACT group: Before standing up, do the action of raising your feet first, and then stand up.
3. TENSE group: Immediately after standing up, change your feet to a crossed stance.

During the experiment, the researchers continuously recorded electrocardiogram and blood pressure, and calculated hemodynamic data. In addition, the subjects were also asked to fill in a scale to quantitatively score symptoms related to postural hypotension. . The research results show that inblood pressurepart, relative to the control group,Blood pressure drops were significantly smaller in both the PREACT and TENSE groups;existcardiac outputpart, relative to the control group,The increase in cardiac output was significantly greater in the PREACT group, but not in the TENSE group; in the Symptom Scale section,Scale scores were significantly lower in both the PREACT and TENSE groups, meaning symptoms were less intense.

From the above, it can be seen that,Both PREACT and TENSE groups improved symptoms of postural hypotension, you can even consider combining the two methods, meaning "Before standing up, put your feet up, and then change to a cross-legged position when you stand up straight.”, although the data of the combined method is not discussed in this paper, considering the different physiological mechanisms behind the two methods, it is speculated that there should be an additive improvement effect.

In addition, the author would like to remind everyone that postural hypotension is essentially caused by insufficient cerebral perfusion caused by a drop in blood pressure, so it is conceivable that groups with low blood pressure are more likely to occur (such as women, middle-aged and elderly people) ), and women are at higher risk during menstruation, therefore, the author recommendsAlways have enough water and nutrients, so that the intravascular fluid and oxygen-carrying capacity are sufficient.

〈The author is former Attending Physician in National Taiwan University Hospital, and Master of Science from National Taiwan University〉