Overview
Low blood pressure is a condition in which the force of the blood pushing against the artery walls is too low. It's also called hypotension.
Blood pressure is measured in millimeters of mercury (mm Hg). In general, low blood pressure is a reading lower than 90/60 mm Hg.
What's considered low blood pressure for one person might be OK for someone else though. Low blood pressure might cause no symptoms that you notice. Or it might cause dizziness and fainting. Sometimes, low blood pressure can be life-threatening.
The causes of low blood pressure include dehydration and other serious medical conditions. It's important to find out what's causing low blood pressure so that it can be treated, if needed.
Types
Types of low blood pressure include:
- Orthostatic hypotension, also called postural hypotension. This is a sudden drop in blood pressure when standing up after sitting or lying down. Causes include dehydration, long-term bed rest, pregnancy, certain medical conditions and some medicines. This type of low blood pressure is common in older adults.
- Postprandial hypotension. This drop in blood pressure occurs 1 to 2 hours after eating. It's most likely to affect older adults, especially those with high blood pressure. The risk also is higher for older adults with Parkinson's disease or other conditions that affect the part of the nervous system that controls automatic functions such as breathing and heart rate. This is called the autonomic nervous system. Certain lifestyle changes might help ease symptoms of postprandial hypotension. Eat small, low-carbohydrate meals, drink more water, and stay away from alcohol.
- Neurally mediated hypotension. This is a blood pressure drop that happens after standing for long amounts of time. This type of low blood pressure mostly affects young adults and children. It might result from communication trouble between the heart and the brain.
- Multiple system atrophy with orthostatic hypotension. This rare condition affects the autonomic nervous system. Multiple system atrophy with orthostatic hypotension is linked with having very high blood pressure while lying down. It also used to be called Shy-Drager syndrome.
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Symptoms
Low blood pressure symptoms can include:
- Blurred or fading vision.
- Dizzy or lightheaded feelings.
- Fainting.
- Fatigue.
- Trouble concentrating.
- Upset stomach.
For some people, low blood pressure may be a symptom of an underlying health condition. That's especially so when blood pressure drops suddenly or when low blood pressure occurs with symptoms.
A sudden fall in blood pressure can be dangerous. A change of just 20 mm Hg can make you feel dizzy or faint. For example, those symptoms could happen after a drop in systolic pressure from 110 mm Hg to 90 mm Hg. And big drops can be life-threatening. These can happen for reasons such as serious bleeding, serious infections or allergic reactions.
Extreme low blood pressure can lead to a condition known as shock. Symptoms of shock include:
- Confusion, especially in older people.
- Cold, clammy skin.
- Decrease in skin color, also called pallor.
- Rapid, shallow breathing.
- Weak and rapid pulse.
When to see a doctor
If you have symptoms of extreme low blood pressure or shock, call 911 or your local emergency number.
Most healthcare professionals consider blood pressure to be too low only if it causes symptoms. Minor dizzy or lightheaded feelings from time to time can be caused by many things. Causes could include spending too much time in the sun or in a hot tub. It's important to see a healthcare professional to find out the cause of your symptoms.
If you often have low blood pressure readings but feel fine, you might not need treatment. Instead, your healthcare professional tracks your health during routine checkups. It can help to keep a record of your symptoms, when they occur and what you're doing at the time.
Risk factors
Anyone can have low blood pressure. Risk factors for hypotension include:
- Age. Drops in blood pressure when standing up or after eating occur mainly in adults older than 65. Neurally mediated hypotension mainly affects children and younger adults.
- Medications. Certain medicines have the potential to cause low blood pressure. These include all medicines that treat high blood pressure.
- Certain diseases. Parkinson's disease, diabetes and some heart conditions can lead to low blood pressure.
- Alcohol or illegal drugs. Either of these may raise the risk of low blood pressure.
Complications
Complications of low blood pressure can include:
- Dizzy feeling.
- Weakness.
- Fainting.
- Injury from falls.
Severely low blood pressure can lower the body's oxygen levels, which can lead to heart and brain damage.