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Everyone knows how to affect the duration and quality of life of the high pressure, but the problem of low blood pressure are often one-on-one sufferers are those who got it by inheritance or by force of circumstances. Low blood pressure is considered to be not greater than 100 mm Hg at 65All figures, which do not reach this threshold, may lead to a deterioration of the blood supply to the periphery of the body and cause a number of unpleasant symptoms and changes associated with oxygen deprivation in the organs and tissues. condition is the name of hypotension. Low top pressure speaks of reducing the contractile ability of the heart, low bottom - about the problems with the vascular component of his or kidney failures. Low pressure in healthy In the absence of diseases physiological hypotension may occur under certain environmental conditions: - in hot climates with high humidity - in workers of hot shops - at high altitudes - most prone to low blood pressure athletes - people engaged in physic reasons low pressure Low blood pressure may be congenital or acquired under the influence of external factors. The main situation in which the pressure falls below acceptable standards, as follows. vascular dystonia VVD and discoordination vascular center in the medulla oblongata lead to the fact that the lumen of blood vessels is not enough narrows when changing the external conditions of the environment and the pressure is not maintained at a level sufficient for normal operation of the body (see. The symptoms of vegetative-vascular dystonia). Cerebral atherosclerosis Cerebral arteriosclerosis in the elderly and the elderly has a similar mechanism of hypotension. Rigid calcified vessels can not change its clearance quickly enough and a well, plus impaired blood supply to the vascular center at the background of the same atherosclerotic changes in vessels of the brain. Reduced blood volume sharp drop in circulating blood volume: - against the backdrop of blood loss (see uterine bleeding, bleeding from the anus, bleeding from the nose, etc...) - dehydration due to diarrhea, vomiting, misuse of diuretics orinadequate fluid intake - leads to a decrease in pressure in the bloodstream. Cardiac pathology fall of the contractility of the heart (acute myocardial infarction, cardiac tamponade, blink, or atrial fibrillation or ventricular sudden coronary death) does not provide sufficient blood output and its pressure (pressure drop). Endocrine disorders Such endocrine pathology as adrenal insufficiency, hypothyroidism necessarily accompanied by low pressure numbers. When adrenal insufficiency in the body do not have enough hormones adrenal cortex. Aldosterone deficiency leads to a drop in the fluid level in the body due to loss of sodium. Falling levels of thyroid hormones leads to a decrease in blood pressure due to lack of vascular tone and decrease in heart rate. thromboembolism pulmonary artery thromboembolism of a pulmonary artery, where the major pulmonary vessel occluded by a thrombus of the inferior vena cava - rather frequent cause of acute hypotension. Thermal shock, anaphylactic or painful shock Any collapse (such as heat stroke, intoxication) or shock (pain, infectious-toxic, anaphylactic shock), leading to a sharp Escrow blood in the vessels of the abdomen, bleeding of the periphery (the brain and extremities), accompanied by low blood pressure. Other reasons - Anemia - chronic anemia of any origin, the disease, giving hidden bleeding (hemorrhoids, uterine fibroids, ulcerative colitis, erosive gastritis, peptic ulcer disease), are secondary to chronic blood pressure lowering. - Injury - traumatic brain injury can cause increased intracranial pressure and low peripheral because of the hydrodynamic impact of cerebrospinal fluid on the vasomotor center. - oncology patients - cancer patients in stage cachexia also suffer from low blood pressure numbers. - medication - this drug hypotension as a result of overdoses antihypertensives, diuretics, cardiac glycosides, nitrates, muscle relaxants, hypnotics and psychotropic. low pressure Symptoms Symptoms of low pressure may occur in the program independent disease (hypotension) or as a secondary condition in other diseases. Criteria hypotension as nosology: - pressure below 110-100 65-70 for a year or longer - early signs of hypotension 9c adolescence) - hypertensive crises - no reason to secondary hypotension. Skin Skin in hypotensive patients often pale, cold and wet. Since the usual low blood pressure, as a rule, the predominant influence of the parasympathetic nervous system, the skin of the white dermographism resistant. Against the background of chronic oxygen starvation of the tissues can be blue shadows under the eyes or brown circles around them. In acute hypotension is added to the pallor cyanosis nasolabial triangle and terminal phalanges. If hypotension is caused by hypothyroidism, the skin is pale, swollen and dry. Brittle nails and hair. Gastrointestinal disorders gastrointestinal Changes can also be very diverse. If hypotension - secondary with chronic mikrokrovopoter from the gastrointestinal tract, the case is likely to go on hyperacidity gastritis, peptic ulcer disease or ulcerative colitis. Then it will be marked by different intensity of pain in different parts of the gastrointestinal tract, heartburn. Belching air or food, defecation disorders (constipation or diarrhea). In hypothyroidism there is a decrease of enzyme activity and gastric acidity. Deteriorating processes of digestion and absorption, there is a tendency to constipation and dyspepsia. central nervous system condition of the central nervous system is also affected differently. In acute conditions hypotension (shock, collapse) or traumatic brain injuries clouded consciousness or lost. If hypotension endocrine genesis marked lethargy, deterioration of memory and learning. In hypotensive patients, as a rule, low efficiency, fatigue and drowsiness. Even after a long night's sleep, people with hypotension may feel extremely frustrated. Respiratory lightweight low pressure react compensatory dyspnea (especially in the load), which is designed to improve the oxygen supply of tissues. When pulmonary embolism or pulmonary edema can listen to different crackles, and separated pinkish sputum. Cardiovascular Indicators of the heart may be in the normal range, and vary considerably. For example, in acute vascular events (pulmonary embolism, myocardial infarction, stroke) can be low pressure and low pulse. There may be situations when the background of frequent uneven heartbeats marked hypotension (eg, ventricular fibrillation very low pressure). Symptomatic hypotension with adrenal insufficiency If low blood pressure is caused by deficiency of adrenal cortex, the symptoms of it are as follows. - progressive muscle weakness, fatigue, drop in efficiency When a primary chronic disease mineralocorticoid (Addison's disease). Hypertension is persistent progressive nature. Compensatory quickens the heartbeat and pulse. There hyperpigmentation of the skin. Nausea, vomiting and unsteadiness chair combined with abdominal pain. Drops of blood sugar. There are frequent night urination.CNS is responsible distracted attention, memory fall, depression. - Secondary adrenal nedostaochnost proceeds similarly, but are not characterized by hyperpigmentation of the skin for it. - Adissonichesky crisis - an acute condition where blood mineralocorticoid fall quite sharply. Against this background, developing a rapid decrease in blood pressure, heart failure, uncontrollable vomiting and diarrhea leads to rapid dehydration. Mental Disorders replaced with excitement to a sharp retardation, sopor and coma. Causes of low pressure in women Women most often bring themselves to themselves hypotension. - passion for mono-diet, fasting, vegetarianism - nutritional causes of low blood pressure. - In menstruating give the root cause can be banal anemia in the background giving up eating meat, combined with disregard for the primary prevention of anemia drugs iron during menstruation. - anemizatsii can occur in the presence of uterine fibroids, hemorrhoids. Pregnant women can suffer from pressure drops against the backdrop of a sharp rise in progesterone during the first trimester. In the later stages of polyhydramnios, twin pregnancy, the inferior vena cava syndrome and all of the same iron-deficiency anemia. Most often due to the growing belly deteriorating venous return to the heart, and helps to reduce cardiac output and blood pressure yields fall. In any case, if the low pressure first developed during pregnancy, what to do, should be decided by an obstetrician-gynecologist in conjunction with the physician and endocrinologist. If the pressure is high, then low blood pressure jumps are always less desirable than consistently high or consistently low numbers. Frequent blood pressure differences are too great strain on the vessels and can be forerunners of cerebral or cardiac events (heart attack or stroke), as facilitate separation of the already formed thrombus or atherosclerotic plaque cracking. Which then thrombosing. - inadequately matched antihypertensive therapy in hypertension leads to the fact that excessive dose or dosing frequency of drugs excessively lower blood pressure (see. All preparations for pressure reduction). Unusually low pressure causes patients to grasp at coffee or stimulants, which give a second jump in blood pressure. It formed a vicious circle, which sooner or later will end bad. - weather-sensitive people with vascular dystonia often have a pressure drop from high to low and vice versa (see. As magnetic storms affect health). - Expressed atherosclerosis can cause sudden pressure change, especially the downs. - Against the background of alcohol abuse vascular reaction may be paradoxical, and vasodilation can change their sharp spasm. - Spastic or sharp pain in the abdomen can cause spikes in blood pressure. - Chronic stress triggers blood pressure instability. Treatment of hypotension Therapeutic measures for hypotension correction must begin with: - normalization day mode - full sleep at night, eliminating stress and overload - also important to fully eat, get enough vitamins - avoid dehydration and intestinalinfections. Reasonable exercise causes the muscles to throw into the bloodstream additional blood volume, heart work harder, adrenal glands and normalizes the blood flow in the vascular center, responsible for the blood pressure (see. As well as to increase the pressure at home). adaptogens For chronic hypotension therapy most soft drugs are adaptogens of plant and animal materials. These funds increase the tone of the vascular center, gently pushing the heart and blood vessels constrict. In addition to improving blood pressure, these tools reduce fatigue, drowsiness and negate some increase overall tone, and human performance. - Pantocrine (80-100 rubles), extracts of Leonurus (10 rubles), ginseng (40-70 rubles), devil and lemongrass (30-100 rubles), Rhodiola rosea tincture (30 rubles) and tincture aralia (40-50 rubles). Tablets Saparal on the Manchurian Aralia basis can be used as a pressure stimulants. - Traditional adaptogenes include some sort of red wine, such as Cahors. Of course, it must be taken on a dessert spoon per day, rather than liters. Alfaadrenomimetiki In acute pressure drops (hypertensive crises, orthostatic blood pressure reduction, fainting) more effective alfaadrenomimetiki. Preparations pressurized by stimulating alpha-adrenergic receptors, which leads to narrowing of arteries and maintaining a constant volume of circulating blood in the bloodstream. At the same time reduced drowsiness and fatigue. - Solutions for injections and pills Gutron, Midodrin, Midamin effectively increase blood pressure. They are contraindicated in hypertension, circulatory failure, rhythm disorders, hyperthyroidism, glaucoma, kidney failure. - The solutions are used and Mezaton (Phenylephrine) and noradrenaline (norepinephrine), and fetanola, mephentermine produced in the form of pills. - central nervous system stimulants is possible to increase the pressure and accelerate learning processes, reduce fatigue. - indirect agonists - Caffeine is sodium benzoate. Analeptics - Analeptics stimulating the vasomotor center - it Etilefrin, Effort, Simptol, Nitetsamid, Kordiamin, Etimizol, Akrinor. - Analeptics realizing the effects of the spinal cord: securinine, Angiotensinamide. - When the low pressure and high pulse, what to do, can tell anticholinesterase agents (Bellataminal, Ginos, Bromenval). Thus, low pressure - it's not always easy to depression and chronic fatigue, but also the risks of vascular accidents. Therefore, when a low pressure is not wise to self-medicate, and should undergo a full examination by a physician or neurologist.
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Svatko zna kako utjecati na trajanje i kvalitetu života od visokog tlaka, ali je problem nizak krvni tlak su često jedan-na-jedan bolesnici su oni koji su ga dobili nasljeđivanjem ili silom prilika. nizak krvni tlak se smatra nije veća od 100 mm Hg na 65 ° CSvi podaci koji se ne dosegne prag, mogu dovesti do pogoršanja dotok krvi prema periferiji tijela i uzrokovati niz neugodnih simptoma i promjena povezanih s nedostatka kisika u organe i tkiva. stanje je naziv hipotenzije.Niska vrh tlak govori o smanjenju kontrakciju sposobnost srca, niske dnu - o problemima s vaskularnom komponentu njegove ili bubrega neuspjeha. Niski tlak u zdravom U odsutnosti bolesti fiziološka hipotenzije može se pojaviti pod određenim uvjetima: - u vrućim podnebljima s visokom vlagom - u radnika Hot trgovine - na velikim visinama - najviše skloni niskim sportaša krvnog tlaka - ljudi koji se bave fizičkim radom sa značajnim opterećenjima. razloga nizak pritisak Nizak krvni tlak može biti kongenitalna ili stečena pod vaskularna distonija VVD i discoordination vaskularne centar u produžene moždine dovesti do činjenice da je lumen krvnih žila nije dovoljno sužava prilikom promjene vanjske uvjete okoliša i pritisak se ne održava na razini dovoljnoj za normalan rad tijela (vidi. Simptomi vegetativno-vaskularne distonija). Cerebralna ateroskleroze cerebralne ateroskleroze u starijih osoba i starijih osoba ima sličan mehanizam hipotenzije.Krute kalcificirani brodovi ne mogu promijeniti njegov klirens dovoljno brzo i dobro, uz oslabljen dotok krvi u vaskularnom centru na pozadini istih aterosklerotskih promjena u žilama mozga. volumen smanjuje krvni oštar pad cirkulirajućeg volumena krvi: - protiv pozadina od gubitka krvi (vidi maternice krvarenje, krvarenje iz anusa, krvarenje iz nosa, itd ...) - dehidracija zbog proljeva, povraćanja, zlouporabe diuretika ilinedovoljan unos tekućine - dovodi do smanjenja tlaka u krvotok. Srčani patologija Pad kontraktilnost srca (akutni infarkt miokarda, srčane tamponadom, tren, ili fibrilacije atrija ili ventrikularne nagli koronarnu smrt) ne pruža dovoljnu proizvodnju krvi i tlaka (pad tlaka). Endokrini poremećaji Takav endokrini patologija kao adrenalne insuficijencije, hipotireoza nužno popraćena niskim brojevima tlaka.Kada se adrenalna insuficijencija u tijelu nemaju dovoljno hormona kore nadbubrežne žlijezde.nedostatak aldosterona dovodi do pada razine tekućine u tijelu zbog gubitka natrija.Padaju razine hormona štitnjače dovodi do smanjenja krvnog tlaka zbog nedostatka tonusa krvnih žila i smanjenje srčanog ritma. tromboembolija plućne arterije tromboembolija od plućne arterije, pri čemu je glavna plućna posuda apsorbiranih ugruška i donju šuplju venu - a čest uzrok akutne hipotenzije. Termalni šok, anafilaktički ili bolno šok Bilo kolaps (kao što su toplotni udar, intoksikacije) ili šoka (bol, zarazne toksičan, anafilaktički šok), što je dovelo do oštrog escrow krv u žilama trbuha, krvarenje iz periferije (mozga i ekstremiteta), u pratnji nizak krvni tlak. drugih razloga - anemije - kroničnu anemiju bilo kojeg podrijetla, bolesti, dajući skrivene krvarenja (hemeroida, uterine fibroids, ulcerozni kolitis, erozivni gastritis, peptički ulkus), sekundarni su kronične snižavanja krvnog tlaka. - ozljeda - traumatska ozljeda mozga može uzrokovati povećanje intrakranijalnog tlaka i niske periferne zbog hidrodinamičkog utjecaja likvora na vazomotorne centra. - onkološki bolesnici - pacijenata oboljelih od raka u fazi kaheksija također pate od niskih brojeva krvnog tlaka. - lijek - ovaj lijek hipotenzije zbog predoziranja antihipertenzivima, diureticima, srčani glikozidi, nitrati, za opuštanje mišića, hipnotici i psihotropnim. niski tlak Simptomi Simptomi niskog tlaka mogu se javiti u samostalnoj bolesti programa (hipotenzija), ili kao sekundarna stanja u drugim bolestima.Kriteriji hipotenzija kao Nozologija: - tlak ispod 110-100 65-70 za godinu dana ili više - rane znakove hipotenzije 9c adolescencije) - hipertenzivne krize - nema razloga za sekundarne hipotenzije. kože kože u sniženje krvnog tlaka bolesnicima često blijede, hladnim i vlažnim.Od uobičajenih niskog krvnog tlaka, kao u pravilu, dominantnim utjecajem parasimpatičkog živčanog sustava, kože bijele dermographism otpornim.Na pozadini kronične gladi kisika u tkiva mogu biti plave sjene ispod očiju ili smeđe krugove oko njih.U akutnoj hipotenzija se doda u bljedilo cijanoza nasolabial trokuta i krajnjeg falangi.Ako hipotenzija uzrokovana hipotireoze, koža je blijeda, otečene i suha.Krhki nokti i kosa.Poremećaji Gastrointestinalni gastrointestinalni Promjene također može biti vrlo raznolika.Ako hipotenzija - sekundarni s kroničnim mikrokrovopoter iz gastrointestinalnog trakta, slučaj je vjerojatno da će ići na prekomjernoj gastritisa, peptičkog ulkusa ili ulcerozni kolitis.Tada će biti obilježen različitim intenzitetom boli u različitim dijelovima probavnog trakta, žgaravice.Podrigivanje zraka ili hrane, defekacija poremećaji (zatvor ili proljev).U hipotireoze dolazi do smanjenja aktivnosti enzima i želučane kiselosti.Sve lošiji procese probave i apsorpcije, postoji tendencija da se zatvor i čirom. središnji živčani sustav stanja središnjeg živčanog sustava je također drugačije utječe.U akutnih stanja hipertenzije (šok, kolaps) ili traumatskih ozljeda mozga prekriveno svijesti ili izgubili.Ako hipotenzija endokrini geneza označena pospanost, pogoršanje pamćenja i učenja.U sniženje krvnog tlaka bolesnicima, kao u pravilu, niske učinkovitosti, umora i pospanosti.Čak i nakon dugog noćnog sna, ljudi s hipotenzija može osjećati vrlo frustriran. Dišni lagani niski tlak reagiraju kompenzacijski dispneju (posebno u opterećenju), koji je osmišljen kako bi poboljšali dotok kisika u tkiva.Kada se plućna embolija ili plućni edem može slušati različite pucketa, odvoji ružičast ispljuvak. Kardiovaskularne Pokazatelji srce može biti u granicama normale, a znatno se razlikuju.Na primjer, u akutnih vaskularnih događaja (plućne embolije, infarkta miokarda, moždanog udara), mogu biti niski tlak i nizak puls.Postoji svibanj biti situacija kada je pozadina čestih neravnim otkucaja srca označena hipotenziju (npr ventrikularna fibrilacija vrlo nizak tlak). Simptomatska hipotenzija sa adrenalna insuficijencija Ako nizak krvni tlak uzrokovan nedostatkom kore nadbubrežne žlijezde, simptomi njoj su kako slijedi. - slabost progresivna u mišićima, umor, pad efikasnosti Kada primarna kronična mincralkortikoidni bolest (Addison bolest).Hipertenzija je uporan progresivne prirode.Kompenzacijska ubrzava rad srca i puls.Postoji hiperpigmentacije kože.Mučnina, povraćanje i nesigurnost stolica u kombinaciji s bolovima u trbuhu.Kapi šećera u krvi.Tu su česte noći mokrenje.CNS je odgovoran omesti pozornost, pamćenje pad, depresija. - sekundarna adrenalna nedostaochnost odvija na sličan način, ali nisu karakterizira hiperpigmentacije kože za to. - Adissonichesky kriza - akutna stanje u kojem u krvi mincralkortikoidni pada prilično oštro.U tom kontekstu, razvoj brz pad krvnog tlaka, zatajenja srca, nekontrolirano povraćanje i proljev dovodi do isušivanja.Mentalni poremećaji zamijeniti s uzbuđenja do oštrog usporavanja, dubok san i koma. Uzroci niskog tlaka kod žena Žene najčešće se donose na sebe hipotenzije. - strast za mono-dijeta, gladovanja, vegetarijanstvo - prehrambene uzroci niskog krvnog tlaka. - U menstruacije daju uzrok može biti banalno anemije u pozadini odustajanja jede meso, u kombinaciji s nebrigu za primarnu prevenciju anemije droge željeza za vrijeme menstruacije. - anemizatsii može pojaviti u prisutnosti mioma maternice, hemoroida. Trudnice mogu patiti od pada tlaka na pozadini naglog porasta progesterona tijekom prvog tromjesečja.U kasnijim fazama hidramnion, twin trudnoća, sindrom donju šuplju venu i svi istog anemije uslijed nedostatka željeza.Najčešće zbog rastućeg trbuha pogoršava venski povratak na srce, te pomaže da se smanji srca i krvni tlak prinosi pasti. U svakom slučaju, ako je niski tlak prvi razvio tijekom trudnoće, što učiniti, treba biti odlučeno od strane Ginekolog u suradnji s liječnikom i endokrinologa. Ako je tlak visok, a zatim niske krvnog tlaka skokovi su uvijek manje poželjno od dosljedno visoke ili dosljedno malog broja.Česti razlike krvnog tlaka prevelika naprezanja na plovilu, te može biti preteča moždanih ili srčanih događaja (infarkt ili moždani udar), kao što je olakšalo odvajanje već formirana tromba ili aterosklerotskog plaka pucanja.Koji je tada thrombosing. - neadekvatno odgovaraju antihipertenzivni terapija u hipertenzija dovodi do činjenice da prekomjerna doza ili učestalost doziranja lijekova pretjerano sniziti krvni tlak (vide. Sve pripreme za smanjenje tlaka).Neobično niski tlak uzrokuje pacijentima da se shvati na kavu ili stimulansi, koji daju drugi porast krvnog tlaka.Ona formira začarani krug, koji će prije ili kasnije završiti loše. - vremenskih osjetljivih ljudi s vaskularnom distonije često imaju pad tlaka od visoke do niske i obrnuto (vidi. Kao što je magnetska oluja utjecati na zdravlje). - Izraženo ateroskleroza mogu dovesti do promjene nagle tlaka, osobito padove. - Na pozadini reakcije zlouporabe alkohola vaskularne možda paradoksalno, a vazodilatacija može promijeniti njihov oštar grč. - Spastički ili oštra bol u trbuhu može uzrokovati spikes u krvnog tlaka. - kronični stres izaziva nestabilnost krvnog tlaka. liječenje hipotenzije terapijske mjere za korekciju hipertenzije moraju početi sa: normalizacija dnevnom pogonu - - puni spavati noću, uklanjanje stresa i preopterećenja - Također je važno da u potpunosti jesti, dobiti dovoljno vitamina - izbjegli dehidraciju i crijevnihinfekcija. Razumni tjelovježba uzrokuje mišiće da se baci u krvotok dodatni volumen krvi, srce raditi, nadbubrežne žlijezde i normalizira protok krvi u vaskularnom centra, koji je odgovoran za krvni tlak (vidi npr., Kao i da se poveća pritisak kod kuće). Adaptogens Za kronične hipotenzija terapije većina lakih droga su adaptogene biljnih i životinjskih materijala.Ta sredstva povećavaju tonus krvnih žila centra, lagano gurajući srce i krvne žile stisnuti.Osim poboljšanja krvnog tlaka, te alate smanjiti umor, pospanost i negirati neke povećati ukupnu ton i ljudsku izvedbu. - Pantocrine (80-100 rubalja), ekstrakti Leonurus (10 rubalja), ginseng (40-70 rubalja), vrag i Lemongrass (30-100 rubalja), Rhodiola rosea tinktura (30 rubalja) i tinktura aralia (40-50 rubalja).Tablete Saparal na Mandžurijskom Aralia osnovi se može koristiti kao tlačnog stimulansa. - Tradicionalni adaptogenes uključuju neku vrstu crnog vina, kao što Cahorsa.Naravno, to se mora uzeti na žlice za desert dnevno, nego litara. Alfaadrenomimetiki U akutnim pada tlaka (hipertenzivna kriza, smanjenje ortostatske krvnog tlaka, nesvjestica) učinkovitiji alfaadrenomimetiki.Pripravci pod tlakom stimuliranjem alfa-adrenergičkih receptora, što dovodi do sužavanjem arterija i održavanja konstantnog volumena cirkulirajuće krvi u krvotoku.U isto vrijeme smanjuje pospanost i umor. - Rješenja za injekcije i tablete Gutron, Midodrin, Midamin efektivno povećanje krvnog tlaka.Oni su kontraindicirana u hipertenzija, zatajenje cirkulacije, poremećaja ritma, hipertireoza, glaukoma, zatajenja bubrega. - Rješenja su korišteni i Mezaton (Fenilefrin) i noradrenalin (norepinefrin), i fetanola, mephentermine proizvodi u obliku tableta. - stimulansi centralnog živčanog sustava, moguće je povećati pritisak i ubrzati proces učenja, smanjuju umor. - indirektne agoniste - Kofein je natrijev benzoat. analeptike - analeptike poticanje vazomotornu centar - to Etilefrin, trud, Simptol, Nitetsamid, Kordiamin, Etimizol, Akrinor. - analeptike ostvarivanja učinaka leđne moždine: securinine, Angiotensinamide. - Kada je nizak tlak i visoki puls, što učiniti, mogu reći antikolincstcraznih sredstva (Bellataminal, Ginos, Bromenval). Dakle, niski tlak - to nije uvijek lako depresije i kroničnog umora, ali i rizici vaskularne nesreća.Stoga, kada je nizak tlak nije pametno samo-liječiti i treba proći punu pregled od strane liječnika ili neurolog.