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. Author manuscript; available in PMC: 2023 Nov 1.
Published in final edited form as: Hypertension. 2022 Aug 4;79(11):2388–2396. doi: 10.1161/HYPERTENSIONAHA.122.18557

Table. Guideline Definitions of Orthostatic Hypotension.

Guideline Blood Pressure Change Cutoffs Time Cutoffs Position
American Academy of Family Physicians 2022 Decrease in SBP ≥20 mm Hg or DBP ≥10 mmHg 3 minutes Supine to standing or tilt-table testing
American Autonomic Society Consensus Definition 1996 and 2011 Sustained decrease in SBP ≥20 mm Hg or DBP ≥10mmHg. Consider SBP ≥30 mm Hg for adults with supine hypertension Two measurements <3 minutes Recumbent to standing or tilt-table testing.
American College of Cardiology / American Heart Association 2017 Decrease in SBP >20 mm Hg or DBP >10 mmHg 1 minute Seated to standing
American Diabetes Association 2017 Decrease in SBP >20 mm Hg or DBP >10 mmHg 3 minutes Seated or supine to standing
Centers for Disease Control and Prevention 2017 Decrease in SBP ≥20 mm Hg or DBP ≥10 mm Hg 1 minute and 3 minutes Supine to standing
European Society of Hypertension/ European Society of Cardiology 2018 Decrease in SBP ≥20 mm Hg or DBP ≥10 mmHg 1 minute and 3 minutes Seated to standing as initial screen, can consider supine to standing in subsequent visits for high risk patients
National Heart Foundation of Australia 2016 Not specified 2 minutes Seated to standing
National Institute for Health and Care Excellence 2019 (United Kingdom) Decrease in SBP ≥20 mmHg 1 minute Seated or supine to standing