How is low blood pressure, or hypotension, defined?
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Optimal blood pressure is less than 120/80 mm Hg, according to the National Heart, Lung and Blood Institute (NHLBI). The exact level that marks low blood pressure, however, differs from person to person. The body uses several mechanisms to regulate blood pressure. It can expand or constrict blood vessels; change the amount of blood pumped from the heart; or change the amount of blood pumped through blood vessels. These mechanisms help blood pressure return to normal after changes brought on by eating, exercise, sleep, or position. Although chronic low pressure may be a sign of disease, it also can indicate good physical conditioning. Athletes often have low blood pressure.
Which type(s) of medications may cause low blood pressure?
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In addition to these medications, other drugs that can cause hypotension include surgical medications, medications for heart disease and diuretics, according to the American Heart Association (AHA). Depending on how long a medication is taken, the low blood pressure can be short-term or chronic.
Which medical condition(s) may cause low blood pressure?
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Damage to the nervous system, which can occur in diabetes and Parkinson's disease, can interfere with the body's normal methods of regulating blood pressure, the AHA says. A heart valve disorder can decrease the amount of blood the heart pumps.
Which of these symptoms is most likely a result of chronic low blood pressure?
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Fainting, or syncope, occurs with low blood pressure because with this condition, the heart isn't able to pump enough oxygen to the brain. The brain is the organ highest up in the body, where it is hardest for blood to overcome the effect of gravity, so the brain is the first to feel the effect of low blood pressure. When a person faints from low blood pressure, he or she falls to the floor, putting the person's head on the same level as his or her heart. Blood flow then can increase to the brain.
An extremely rapid heartbeat (tachycardia) or a very slow heartbeat (bradycardia) can impair the heart's pumping ability and cause low blood pressure and fainting. Which of these has proved very successful in regulating the heartbeat to maintain a normal blood pressure?
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A heart rate that is too slow can be corrected by surgically implanting a pacemaker, an electronic device that stimulates heartbeats, the NHLBI says. A heart rate that is too rapid can be slowed by using medications such as beta blockers.
Alcohol can contribute to hypotension. How?
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When you stand from a sitting position, blood vessels constrict to maintain adequate pressure to support standing. Because alcohol interferes with blood-vessel constriction, blood pressure can drop when you stand, causing a blackout. It also interferes with the brain's mechanisms to control blood pressure.