Evaluación de hipotensión

Última revisión: 16 Jul 2025
Última actualización: 29 Jan 2025

Resumen

Differentials

Common

  • Pérdidas de volumen no hemorrágicas
  • Sangrado del tracto gastrointestinal superior
  • Sangrado en el tracto gastrointestinal inferior
  • Hipotensión inducida por diálisis
  • Traumatismo
  • Síndrome coronario agudo
  • Insuficiencia cardíaca aguda
  • Disritmia
  • Embolia pulmonar aguda
  • Relacionada con fármacos y drogas
  • Embarazo (sin complicaciones)
  • Síncope vasovagal
  • Sepsis
  • Hepatopatía crónica
  • Enfermedad de Parkinson
Full details

Uncommon

  • Rotura de aneurisma aórtico abdominal
  • Embarazo ectópico
  • Sangrado retroperitoneal
  • Síndrome sinusal carotídeo (subtipo cardioinhibitorio)
  • Hipotiroidismo grave
  • Neumotórax a tensión
  • Taponamiento cardíaco
  • Síncope situacional
  • Anafilaxia
  • Pancreatitis aguda grave
  • Síndrome sinusal carotídeo (subtipo vasodepresor)
  • Neuropatía autonómica diabética
  • Atrofia multisistémica
  • Tras un accidente cerebrovascular
  • Insuficiencia autonómica primaria
  • Amiloidosis
  • Supresión suprarrenal (iatrogénica)
  • Enfermedad de Addison
  • Hipopituitarismo
  • Deficiencia de tiamina
  • Deficiencia de vitamina B12
  • Síndrome carcinoide
Full details

Contributors

Authors

Fiona Kearney, MB, BCh, BAO, MRCPI

Consultant Geriatrician

Department of Healthcare of Older People

Nottingham University Hospitals NHS Trust

Queen’s Medical Centre

Nottingham

UK

Disclosures

FK is an author of a reference cited in this topic.

Alan Moore, MB, BCh, BAO, FRCPI

Consultant Geriatrician

Beaumont Hospital

Dublin

Honorary Senior Lecturer at Royal College of Surgeons

Ireland Medical School

Dublin

Republic of Ireland

Disclosures

AM is an author of a number of references cited in this topic.

Peer reviewers

Vidhu S. Paliwal, MD

Cardiologist

Skagit Valley Hospital

Mount Vernon

WA

Disclosures

VSP declares that he has no competing interests.

Gideon Caplan, MB, BS Syd, FRACP

Director

Geriatric Medicine

Prince of Wales Hospital

Sydney

Australia

Disclosures

GC declares that he has no competing interests.

Vasi Naganathan, MBBS, FRACP, MMed (Clin Epi), PhD, Grad Cert Med Ed

Academic Sydney Medical School

University of Sydney

Consultant Geriatrician

Concord Hospital Centre for Education and Research on Ageing

Concord

Australia

Disclosures

VN declares that he has no competing interests.

Andrew Parfitt, MBBS, FFAEM

Clinical Director

Acute Medicine

Associate Medical Director

Consultant Emergency Medicine

Guy's and St Thomas' NHS Foundation Trust

Clinical Lead and Consultant

Accident Emergency Medicine

St Thomas' Hospital

London

UK

Disclosures

AP declares that he has no competing interests.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Brignole M, Moya A, de Lange FJ, et al. 2018 ESC guidelines for the diagnosis and management of syncope. Eur Heart J. 2018 Jun 1;39(21):1883-948.Full text

McDonagh TA, Metra M, Adamo M, et al. 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021 Sep 21;42(36):3599-726.Full text

Society of Critical Care Medicine; European Society of Intensive Care Medicine. Surviving Sepsis Campaign: hour-1 bundle: initial resuscitation for sepsis and septic shock. 2019 [internet publication].Full text

Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association joint committee on clinical practice guidelines. Circulation. 2022 May 3;145(18):e895-1032.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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