& # 39; Ping & # 39; or Hypotension standing when it occurs suddenly, drops of blood pressure within 3 minutes

Orthostatic hypotension refers to the case of sudden onset of vertigo with a sudden drop in blood pressure. Even in normal people, when suddenly, the blood pressure decreases, and the autonomic nervous system of our body responds appropriately and is quickly recovering. However, patients with orthostatic hypotension experience severe dizziness due to sudden blood pressure due to the obstacles to normalization of the autonomic nervous system, sometimes causing secondary damage while losing consciousness.

The Emergency Medical Center of the Boramae Hospital A total of 240 patients with orthostatic hypotension among 1004 patients who experienced orthostatic hypotension during the period from January to December 2016 were selected by Kyung Min Nurse. 82.9%) had a blood pressure less than 1 minute of the ascending atrium and 33 (13.8%) had a decreased blood pressure within 3 minutes of waking, and only 8 patients had a lowered blood pressure after 5 minutes. The group with orthostatic hypotension standing at 1 minute and the group with orthostatic hypotension standing at 3 to 5 minutes showed orthostatic hypotension standing at 3 to 5 minutes, The age group was lower, the percentage of women was higher high and hemoglobin and albumin levels were higher than those in the groups. In particular, people aged 67 and older were more likely to have orthostatic hypotension in about 1 minute.

Jang Kyungmin, a nurse in charge of the study, said that 82.9% of patients with orthostatic hypotension were positive in the minute after rest, and 96.7% were positive in the 3 minutes after rest. "Standing hypotension can be measured up to 3 minutes instead of 5 minutes for patients or medical staff."

Professor Kim said, "Standing up for an unstable patient for five minutes or more to measure orthostatic hypotension is a significant burden for the patient and medical staff in the ER." This study was conducted to evaluate the effect of an elderly person. "This is the first study to suggest that patients can be screened for orthostatic hypotension even with measures of 1 to 3 minutes," he said. "

At the opening of the Asia-Pacific Cardiology Society in 2018, he made a presentation on the theme" Appropriate time to determine orthostatic hypotension in the room ". Emergency. "