Comprehensive Review on Hypotension: Causes, Management, and Implications

By:

Rupinderjit Kaur and Ramesh Kumari

Volume: 10 | Issue: 01 | Year 2024 | Subscription
International Journal of Cardiovascular Nursing
Received Date: 02/27/2024
Acceptance Date: 04/03/2024
Published On: 2024-04-12
First Page: 20
Last Page: 24

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Citation:
Rupinderjit Kaur and Ramesh Kumari Comprehensive Review on Hypotension: Causes, Management, and Implications International Journal of Cardiovascular Nursing. 2024; 10(01): 20-24p.
Abstract

Hypotension, characterized by a decrease in systolic blood pressure below 100 and diastolic blood pressure below 60 mm Hg, poses a significant medical concern due to its various causes and potential complications. This review seeks to offer an extensive summary of hypotension, encompassing its varied causes and multifaceted contributing elements. The causes encompass a broad spectrum, ranging from lifestyle-related factors such as prolonged standing and dehydration to medication-induced hypotension. Underlying health issues like severe infection, bleeding in the intestines, heart problems, trauma, and severe burns also contribute to this condition. The article delves into the less-discussed aspects of hypotension, including its association with anemia, hypovolemia, pregnancy, adrenal gland failure, hypoxia, and allergic reactions. Special attention is given to the intricate relationship between hypotension and hypertension, emphasizing the importance of understanding the balance between the two conditions for effective management. The review explores the significance of prompt identification and intervention to prevent complications and enhance patient outcomes. Additionally, the article discusses current management strategies for hypotension, considering both pharmacological and non-pharmacological approaches. The potential implications of hypotension on various organ systems are also examined, highlighting the need for tailored treatment plans based on the underlying causes.

Keywords: Hypotension, systolic blood pressure, diastolic blood pressure, causes, management, complications, organ systems

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Citation:

Rupinderjit Kaur and Ramesh Kumari Comprehensive Review on Hypotension: Causes, Management, and Implications International Journal of Cardiovascular Nursing. 2024; 10(01): 20-24p.

Refrences:

  1. Wieling W, Kaufmann H, Claydon VE, van Wijnen VK, Harms MPM, Juraschek SP, Thijs RD. Diagnosis and treatment of orthostatic hypotension. Lancet Neurol. Aug 2022; 21(8): 735–746.
  2. Schindler AW, Marx G. Evidence-based fluid management in the ICU. Curr. Opin. Anaesthesiol. Apr 2016; 29(2): 158–165.
  3. Parsaik AK, Singh B, Altayar O, Mascarenhas SS, Singh SK, Erwin PJ, Murad MH. Midodrine for orthostatic hypotension: A systematic review and meta-analysis of clinical trials. J Gen Intern Med. Nov 2013; 28(11): 1496–1503.
  4. Teodorovich N, Swissa M. Tilt table test today: State of the art. World J Cardiol. Mar 2016; 8(3): 277–282.
  5. Marcelino P, Marum S, Fernandes AP, Lopes MG. A ecocardiografia transtorácica na avaliação da hipotensão em cuidados intensivos polivalentes [Transthoracic echocardiography for evaluation of hypotensive critically ill patient]. Acta Med Port. Sep-Oct 2006; 19(5): 363–371.
  6. Gamper G, Havel C, Arrich J, Losert H, Pace NL, Müllner M, Herkner H. Vasopressors for hypotensive shock. Cochrane Database Syst Rev. Feb 2016; 2(2): CD003709.
  7. Zaqqa M, Massumi A. Neurally mediated syncope. Tex Heart Inst J. 2000; 27(3): 268–272.
  8. Yu J. Endocrine disorders and the neurologic manifestations. Ann Pediatr Endocrinol Metab. Dec 2014; 19(4): 184–190. DOI: 10.6065/apem.2014.19.4.184.
  9. Chen-Scarabelli C, Scarabelli TM. Neurocardiogenic syncope. BMJ. Aug 2004; 329(7461): 336–341.
  10. Thijs RD, Brignole M, Falup-Pecurariu C, Fanciulli A, Freeman R, Guaraldi P, Jordan J, Habek M, Hilz M, Traon AP, Stankovic I, Struhal W, Sutton R, Wenning G, Van Dijk JG. Recommendations for tilt table testing and other provocative cardiovascular autonomic tests in conditions that may cause transient loss of consciousness: Consensus statement of the European Federation of Autonomic Societies (EFAS) endorsed by the American Autonomic Society (AAS) and the European Academy of Neurology (EAN). Clin Auton Res. Jun 2021; 31(3): 369–384.
  11. Sharma S, Hashmi MF, Bhattacharya PT. Hypotension. In: StatPearls. Treasure Island (FL): StatPearls Publishing; Jan 2024. [Online] Available from: https://www.ncbi.nlm.nih.gov/books/NBK499961/.
  12. Dadlani A, Madan K, Sawhney JPS. Ambulatory blood pressure monitoring in clinical practice. Indian Heart J. Jan-Feb 2019; 71(1): 91–97.
  13. Kalra DK, Raina A, Sohal S. Neurogenic orthostatic hypotension: State of the art and therapeutic strategies. Clin Med Insights Cardiol. Aug 2020; 14: 1179546820953415.
  14. Ramesh GH, Uma JC, Farhath S. Fluid resuscitation in trauma: What are the best strategies and fluids? Int J Emerg Med. Dec 2019; 12(1): 38.
  15. Palma JA, Kaufmann H. Management of orthostatic hypotension. Continuum (Minneap Minn). Feb 2020; 26(1): 154–177.