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CONTEXTA clinical case report is presented of some patients taking angiotensin type 2 receptor blockers (AT2RB) who collapsed without warning whilst being active outdoors in the heat.ISSUESIt is not possible to recognise hypotension due to the heat by testing in a controlled environment such as a doctor's office. Many people taking AT2RBs may be thus misdiagnosed and inappropriately treated.LESSONS LEARNEDSudden collapse in a patient on AT2RB who is active in the heat should alert the physician to the possible cause of extreme sensitivity to low-grade volume depletion.

Sudden collapses in the heat in patients on angiotensin type 2 receptor blockers