#1 Orthostatic Hypotension Treatment Center in USA
Specialized Care for Chronic Low Blood Pressure & Autonomic Dysfunction
Expert Diagnosis & Care for Orthostatic Hypotension Patients Across the United States
At Franklin Cardiovascular, we specialize in diagnosing and treating Orthostatic Hypotension, a form of low blood pressure that occurs when standing up. Led by Dr. Nicholas DePace, a nationally recognized expert in autonomic dysfunction, POTS, and Ehlers-Danlos Syndrome (EDS), our center offers comprehensive and personalized care for patients struggling with dizziness, fainting, and other symptoms of this debilitating condition.
What is Orthostatic Hypotension?
Orthostatic Hypotension (OH) is defined as a significant drop in blood pressure — typically 20 mmHg systolic or 10 mmHg diastolic — within three minutes of standing. This condition reflects an abnormal response of the autonomic nervous system, which fails to regulate blood pressure and blood flow during postural changes.
⚠️ Common Symptoms
- Dizziness or lightheadedness upon standing
- Fainting or near-fainting episodes
- Blurred vision
- Fatigue or brain fog
- Nausea
- Cold, clammy skin
- Chest pain or palpitations
These symptoms may be brief or chronic and often interfere with daily functioning.
How Orthostatic Hypotension is Linked to Autonomic Dysfunction, POTS, and EDS
Many patients with autonomic nervous system disorders such as:
- Postural Orthostatic Tachycardia Syndrome (POTS)
- Neurogenic Orthostatic Hypotension (nOH)
- Hypermobile Ehlers-Danlos Syndrome (hEDS)
also experience orthostatic hypotension. In such cases, OH is often part of a broader dysautonomia spectrum, and treating the underlying autonomic dysfunction is essential for long-term improvement.
Learn more about our Autonomic Dysfunction Center
Explore our POTS Treatment Options
Ehlers-Danlos Syndrome Care by a Cardiologist
Advanced Diagnostic Testing at Our Clinic
Our center uses advanced, non-invasive diagnostic tools to evaluate the root causes of your symptoms:
- Tilt Table Testing
- 24-Hour Ambulatory Blood Pressure Monitoring
- Autonomic Reflex Testing
- Cardiovascular Evaluation and Lab Work
We take a holistic approach, reviewing your complete medical history, symptom profile, and existing medications.
Individualized Orthostatic Hypotension Treatment Plans
There is no one-size-fits-all treatment for orthostatic hypotension. We create customized care plans that may include:
Lifestyle & Behavioral Modifications:
- Increased salt and fluid intake
- Compression garments
- Elevating the head of the bed
- Physical counter-pressure maneuvers
- Graduated exercise programs
Pharmacological Therapies:
- Fludrocortisone
- Midodrine
- Pyridostigmine
- Droxidopa
- Other autonomic-modulating agents
Root-Cause Management:
- Treating underlying autonomic dysfunction
- Addressing POTS or EDS-related symptoms
- Minimizing triggers like heat, dehydration, or prolonged standing
⚕️ Why Choose Dr. Nicholas DePace for Orthostatic Hypotension Treatment?
- Over 30 years of cardiology experience
- Author of Clinical Autonomic Dysfunction (Springer, 2015)
- Board-certified in Cardiology, Nuclear Cardiology, Echocardiography, Lipidology
- Expert in diagnosing complex dysautonomia cases with a cardiology lens
- Known for combining evidence-based medicine with personalized care
️ Treating Patients Nationwide
We proudly serve patients across the United States, including those from New York, New Jersey, California, Pennsylvania, Texas, Ohio, Georgia, Virginia, and beyond. While we do not offer telemedicine, many patients travel to our center after completing our online autonomic dysfunction questionnaire.
✍️ Complete the Online Evaluation Form Today
❓ Frequently Asked Questions
➤ Is orthostatic hypotension dangerous?
Yes. Severe or unmanaged OH can led to falls, cognitive issues, or organ under perfusion. A proper diagnosis is essential.
➤ Can a cardiologist treat orthostatic hypotension?
Absolutely. Since blood pressure regulation is tied to cardiovascular and autonomic systems, a cardiologist trained in dysautonomia is highly qualified to manage OH.
➤ Is orthostatic hypotension the same as POTS?
No. POTS involves increased heart rate on standing without a significant drop in blood pressure, while OH involves a drop in blood pressure. However, they can co-exist.
Ready to Take the Next Step?
If you or a loved one are living with unexplained dizziness, fatigue, or fainting, we encourage you to reach out. Early diagnosis and expert management can significantly improve your quality of life.
Call us (856-589-6034) or request a consultation today.
Start with our online questionnaire