Orthostatic hypotension. Part 2: diagnosis and treatment

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Pathophysiology, diagnosis, and treatment of orthostatic hypotension and vasovagal syncope.

Orthostatic hypotension (OH) occurs in 0.5% of individuals and as many as 7-17% of patients in acute care settings. Moreover, OH may be more prevalent in the elderly due to the increased use of vasoactive medications and the concomitant decrease in physiologic function, such as baroreceptor sensitivity. OH may result in the genesis of a presyncopal state or result in syncope. OH is defined as a...

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Diagnosis and Treatment of Orthostatic Hypotension in Parkinson’s Disease

Orthostatic hypotension (OH) is a frequent comorbidity affecting between 23 and 38% of Parkinson’s disease (PD) patients. Several pieces of evidence suggest that OH is related to faster cognitive decline and more frequent falls, and has been also connected to increased mortality. OH can be arbitrarily defined as a drop of systolic and/or diastolic blood pressure of 20 o...

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Orthostatic Hypotension: Epidemiology, Prognosis, and Treatment.

Orthostatic hypotension (OH) is a common cardiovascular disorder, with or without signs of underlying neurodegenerative disease. OH is diagnosed on the basis of an orthostatic challenge and implies a persistent systolic/diastolic blood pressure decrease of at least 20/10 mm Hg upon standing. Its prevalence is age dependent, ranging from 5% in patients <50 years of age to 30% in those >70 years ...

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Treatment of chronic orthostatic hypotension with ergotamine.

The acute and chronic effects of ergotamine were examined in four patients with chronic orthostatic hypotension. Chronic oral administration of ergotamine tartrate produced significant increases in standing blood pressure and marked clinical improvement, without appreciable recumbent hypertension. The blood pressure increases were not associated with significant changes in plasma norepinephrine...

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ژورنال

عنوان ژورنال: Innovative medicine of Kuban

سال: 2020

ISSN: 2541-9897,2500-0268

DOI: 10.35401/2500-0268-2020-19-3-77-85