Exercise-associated hypotension can occur following vigorous exercise.
Features of exercise-associated hypotension:
(1) drop in systolic and/or mean blood pressure when supine compared to pre-exercise values
(2) associated with exercise
A small drop in blood pressures is common after exercise.
The maximum hypotension may be 15 to 30 minutes after stopping the exercise.
Risk factors:
(1) autonomic dysfunction
(2) prolonged exertion
(3) drugs
(4) dehydration
Differential diagnosis:
(1) heat injury
(2) exercise-associated postural hypotension (not hypotensive when supine or sitting)
Exercise-associated hypotension and exercise-associated postural hypotension may both be present.
