Understanding Low Blood Pressure (Hypotension)

A Comprehensive Guide to Causes, Symptoms, and Treatment

Cardiology

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Last updated: Mar 24, 2025

What is Low Blood Pressure?

Blood pressure below 90/60 mmHg is generally considered low (hypotension). While not always problematic, significant hypotension can reduce blood flow to vital organs.

Common Symptoms

  • Dizziness or lightheadedness
  • Fainting (syncope)
  • Blurred vision
  • Nausea
  • Fatigue
  • Cold, clammy skin
  • Rapid, shallow breathing

Common Causes

Temporary Causes

  • Dehydration
  • Standing up too quickly (orthostatic hypotension)
  • Pregnancy
  • Heat exposure

Medical Conditions

  • Heart problems
  • Endocrine disorders
  • Severe infection (sepsis)
  • Blood loss
  • Severe allergic reaction (anaphylaxis)

Medications

  • Diuretics
  • Beta blockers
  • Antidepressants
  • Erectile dysfunction drugs

When to Seek Medical Care

Seek immediate medical attention if you experience:

  • Severe dizziness
  • Fainting episodes
  • Signs of shock
  • Chest pain
  • Shortness of breath

Treatment Options

Lifestyle Changes

  • Increase fluid intake
  • Consume more salt (under medical supervision)
  • Rise slowly from sitting/lying positions
  • Avoid prolonged standing

Medical Interventions

  • Medication adjustments
  • Treatment of underlying conditions
  • Compression stockings
  • Medications to raise blood pressure (in severe cases)

Prevention

  • Stay well-hydrated
  • Eat regular, balanced meals
  • Avoid alcohol
  • Exercise regularly
  • Monitor blood pressure regularly

Long-term Management

Work with your healthcare provider to:

  • Identify triggers
  • Adjust medications as needed
  • Develop an appropriate treatment plan
  • Monitor progress regularly

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