Neurogenic hypotension, also called neurogenic postural hypotension, is a type of hypotensive reaction caused by postural changes associated with neurological disorders. The main treatment is to change the position slowly, enhance the strength of the lower limbs, and apply drugs.
1. In neurogenic postural hypotension, after the patient’s position is changed to standing, the blood pressure will fall rapidly by more than 20 mmHg within three minutes. The sudden drop in blood pressure can cause dizziness, vertigo, blurred vision, cold sweat, nausea, pallor, and in severe cases, syncope. So usually must pay attention to the body position change not too fast, the emergence of uncomfortable symptoms, as soon as possible to lie down to rest.
2. For the treatment of this type of patients is mainly usual, pay attention to the position change not too fast. In addition, you can wear elastic stockings to enhance the contraction force of the lower limbs and increase the amount of return blood.
3. If the condition is serious, medication is needed, commonly used: α1 agonists such as midodrine, glucocorticosteroids such as hydrocortisone, norepinephrine precursor drugs such as drospirenine and so on.
The existence of neurogenic hypotension, usually pay attention to the prevention of syncope and fall, repeated dizziness in time to go to the hospital for treatment.