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Case Study: Occupational Orthostatic Hypotension in Nepal: Prevalence, Causes, and Management in High-Risk Professions

Year: 2024

Type: article

Abstract: : Orthostatic hypotension (OH) is a condition marked by a significant drop in blood pressure upon standing, resulting from impaired autonomic regulation of vascular tone and blood volume. This study investigates the prevalence, physiological mechanisms, and occupational risk factors for OH among high-risk professions in Nepal, such as traffic police, security guards, and shopkeepers. Using a cross-sectional design, participants were evaluated for blood pressure variability, autonomic function, and fluid balance. The findings reveal a high incidence of OH, linked to reduced baroreceptor sensitivity and impaired sympathetic activation due to prolonged standing and inadequate hydration. This study highlights the need for tailored clinical interventions and workplace modifications to mitigate OH in vulnerable occupational groups.

Source: International Internal Medicine Journal

DOI: 10.33140/iimj.02.10.04

Author: Roshan Agrawal

Institution: Kathmandu University

Language: English

Topic: Cardiovascular Syncope and Autonomic Disorders

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: bronze

OpenAlex ID: W4405560601

FWCI:

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Related to: 10