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Self-prescription is reasonably safe assuming that the compression gradient is 15–20 mmHg, the ABPI (for both legs) is >1.0 and that the stockings fit correctly. "Firm" gradient stockings (20–30 mmHg and 30–40 mmHg) should generally be worn only on medical advice.
In medical contexts, compression garments provide support for people who have to stand for long periods or have poor circulation. These come in varying degrees of compression, and higher degree compression sleeves, such as sleeves that provide compression of 20–30 mmHg or higher, typically require a doctor's prescription. [1]
Orthostatic syncope refers to syncope resulting from a postural decrease in blood pressure, termed orthostatic hypotension. [1]Orthostatic hypotension occurs when there is a persistent reduction in blood pressure of at least 20mmHg systolic or 10mmHg diastolic within three minutes of standing or being upright to 60 degrees on the head-up tilt table.
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Initial orthostatic hypotension is frequently characterized by a systolic blood pressure decrease of ≥40 mmHg or diastolic blood pressure decrease of ≥20 mmHg within 15 seconds of standing. [32] Blood pressure then spontaneously and rapidly returns to normal, so the period of hypotension and symptoms is short (<30 s). [32]
Also it keeps the wound dressing in place. A second stocking, often brown, sometimes black, achieves a pressure of 20–30 mmHg and is applied over the other stocking during the daytime. [33] Intermittent pneumatic compression devices may be used, but it is not clear that they are superior to simple compression dressings. [34]
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