Falls, syncope, and the orthostatic hypotension we miss
Last week a patient came in after his third ER visit in four months. Dizziness, near-syncope, and two falls. He has Parkinson’s disease and has been on carbidopa-levodopa for six years. His blood pressure in my office was 128/82 sitting. Completely normal.
That number told me almost nothing.
What I needed was his blood pressure lying down and again after standing for three minutes. I needed the reading he took at home …
Falls, syncope, and the orthostatic hypotension we miss















