Table 1.
Disorder | Hemodynamic Change(s) with Standing | ||
---|---|---|---|
Direction and Magnitude | Time of Onset | Duration | |
Classical OH | ↓ SBP ≥20 mmHg or ↓ DBP ≥10 mmHg | ≤3 min | Sustained |
Classical OH + Supine HTN | ↓ SBP/DBP ≥30/15 mmHg | ≤3 min | Sustained |
Delayed OH | ↓ SBP ≥20 mmHg or ↓ DBP ≥10 mmHg | ≥3 min | Sustained |
Initial OH | ↓ SBP ≥40 mmHg and/or ↓ DBP ≥20 mmHg | ≤15 s | Transient (resolves within 45–60 s of onset) |
VVS | Preserved BP/HR until syncope prodrome Time of faint: ↓ BP and ↓ HR | Variable | Until faint |
POTS | ↑ HR ≥30 mmHg No OH | ≤10 min | Sustained |
Abbreviations: SBP, systolic blood pressure; DBP, diastolic blood pressure; HR, heart rate; HTN, hypertension; HR, heart rate