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.

To read more or access our algorithms and calculators, please log in or register.