Orthostatic hypotension (OH) is a common condition affecting up to 30% of the general population over 65, and up to 70% of people living in nursing homes. The definition put forward by American Autonomic Society, American Academy of Neurology, and subsequently endorsed by the European Federation of Autonomic Societies and the World Federation of Neurology is ‘. . .a sustained reduction of systolic blood pressure of at least 20 mmHg or diastolic blood pressure of 10 mm Hg within 3 min of standing or head-up tilt to at least 60◦ on a tilt table. Gangavati and colleagues reported that older adults with systolic OH at 1 min and uncontrolled hypertension were at greater risk of falls (hazard ratio = 2.5, 95% confidence interval = 1.3–5.0) than those with uncontrolled hypertension without OH. OH by itself was not associated with falls.