Orthostatic Dysregulation Quiz

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Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Yoshinori Abe, MD

Yoshinori Abe, MD (Internal medicine)

Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.

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Learn more about Orthostatic Dysregulation

Content updated on Jan 19, 2024

What is orthostatic dysregulation?

Orthostatic dysregulation (OD) is a general term that describes abnormal blood pressure changes triggered by sitting up or standing, most commonly resulting in low (orthostatic hypotension) or, less commonly, high blood pressure (orthostatic hypertension). OD is most common in the elderly, and can be due to certain medications (e.g. anti-depressants and anti-hypertensives), certain diseases affecting the nervous system (e.g. diabetes, Parkinson disease, multiple sclerosis), and can be seen in certain sleep disorders.

Symptoms of orthostatic dysregulation

  • Fatigue that is worst in the morning

  • Losing consciousness

  • Dizziness

  • Feel unsteady or floating when I am standing

  • Feeling lightheaded or fainting after passing urine or stool

  • Dizziness when standing or after prolonged standing

  • Headache

  • Sensation of imbalance as if floating when at sea

Questions your doctor may ask to check for orthostatic dysregulation

  • Do you feel more tired in the morning?

  • Have you temporarily lost consciousness?

  • Are you currently dizzy?

  • Do you feel dizzy or floaty when standing?

  • Did you feel dizzy or faint after using the bathroom?

Treatment for orthostatic dysregulation

Treatment aims to restore normal blood pressure. The simplest method is to sit back down if symptoms occur and stand up slowly. For OD caused by specific diseases, treatment of those diseases can control symptoms. Other lifestyle changes like maintainin hydration, reducing alcohol intake can help.

View the symptoms of Orthostatic Dysregulation

  • Faint

  • Dizziness

  • Headache

  • Heart palpitation

Diseases related to Orthostatic Dysregulation

References

  • Kawai M, Miyai N, Arita M. The prevalence of orthostatic dysregulation among newly graduated female nurses after employment and its associations with autonomic nervous function, stress, and depressive symptoms. SAGE Open Med. 2021 Apr 29;9:20503121211012180. doi: 10.1177/20503121211012180. PMID: 33996079; PMCID: PMC8107664.

    https://journals.sagepub.com/doi/10.1177/20503121211012180

  • Roca F, Rougette K, Zmuda L, Noel G, Larose S, Bordage M, Chassagne P. Association between orthostatic blood pressure dysregulation and geriatric syndromes: a cross-sectional study. BMC Geriatr. 2022 Feb 26;22(1):157. doi: 10.1186/s12877-022-02844-8. PMID: 35219308; PMCID: PMC8881862.

    https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-022-02844-8

  • Tsuchiya A, Kitajima T, Tomita S, Esaki Y, Hirose M, Iwata N. High Prevalence of Orthostatic Dysregulation among Circadian Rhythm Disorder Patients. J Clin Sleep Med. 2016 Nov 15;12(11):1471-1476. doi: 10.5664/jcsm.6268. PMID: 27568888; PMCID: PMC5078701.

    https://jcsm.aasm.org/doi/10.5664/jcsm.6268

User testimonials

Reviewed By:

Benjamin Kummer, MD

Benjamin Kummer, MD (Neurology)

Dr Kummer is Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai (ISMMS), with joint appointment in Digital and Technology Partners (DTP) at the Mount Sinai Health System (MSHS) as Director of Clinical Informatics in Neurology. As a triple-board certified practicing stroke neurologist and informaticist, he has successfully improved clinical operations at the point of care by acting as a central liaison between clinical neurology faculty and DTP teams to implement targeted EHR configuration changes and workflows, as well as providing subject matter expertise on health information technology projects across MSHS. | Dr Kummer also has several years’ experience building and implementing several informatics tools, presenting scientific posters, and generating a body of peer-reviewed work in “clinical neuro-informatics” – i.e., the intersection of clinical neurology, digital health, and informatics – much of which is centered on digital/tele-health, artificial intelligence, and machine learning. He has spearheaded the Clinical Neuro-Informatics Center in the Department of Neurology at ISMMS, a new research institute that seeks to establish the field of clinical neuro-informatics and disseminate knowledge to the neurological community on the effects and benefits of clinical informatics tools at the point of care.

Yoshinori Abe, MD

Yoshinori Abe, MD (Internal medicine)

Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.

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