Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Supine hypotensive syndrome, on hospital and medical facility performance and … Revised 12/16/2017 Supine hypotensive syndrome often occurs only in mothers who are greater than 20 weeks pregnant and results as the gravid uterus obstructs the inferior vena cava, which in turn, reduces venous return and blood preassure. Aortocaval compression syndrome is also known as a supine hypotensive syndrome. Supine hypertension represents a challenge in the treatment of orthostatic hypotension. supine hypotensive syndrome — A pregnancy-related condition where the weight of an unborn fetus and the uterus puts pressure on the inferior vena cava. In severe cases, this may lead to hypotension and syncope. Lying in a left lateral recumbent position takes pressure off the inferior vena cava, which allows adequate blood return. Pregnant woman. Coexistent supine hypertension and orthostatic hypotension (SH-OH) pose a particular therapeutic dilemma, as treatment of one aspect of the condition may worsen the other. The result is inadequate venous blood return to the heart, reduced cardiac output, and lowered blood pressure. When blood pressure falls low enough, the result is … Prehospital Treatment ... Watch for Supine Hypotension Syndrome > After 20 weeks gestation, the uterus can occlude the intravascular circulation (IVC) in the supine position. This can prevent supine hypotensive syndrome in women whose uteruses may put excessive pressure on these crucial vessels. Treatment is aimed at decreasing tissue pressure, restoring blood flow, and minimizing tissue damage and functional loss. Supine Hypotensive Syndrome refers to positional low blood pressure that may result when the weight of the uterus compresses the vena cava (the largest vein of the torso) which reduces blood flow back to the heart and lowers blood pressure. • Ask patient to quantify bleeding - number of pads used per hour. The impedance of blood … Supine hypotension syndrome in pregnancy can be especially deleterious in the usual setting of increased cardiac demand in pregnancy. We found these patients to be particularly responsive to the hypotensive effects of transdermal nitroglycerin. 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