Current pharmacologic treatment for orthostatic hypotension

被引:32
作者
Freeman, Roy [1 ]
机构
[1] Harvard Univ, Beth Israel Deaconess Med Ctr, Sch Med, Dept Neurol,Ctr Autonom & Peripheral Nerve Disord, Boston, MA 02215 USA
关键词
orthostatic hypotension; syncope; autonomic failure; sympathetic nervous system;
D O I
10.1007/s10286-007-1003-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Orthostatic hypotension is treated effectively with the combined use of non-pharmacological and pharmacological interventions. Patients should be counseled as to the nature of the underlying disorder and reversible causes of orthostatic hypotension should be removed. Should symptoms persist, pharmacological treatment is implemented. First line pharmacotherapeutic interventions include volume repletion in combination with alpha-adrenoreceptor agonists. If unsuccessful there are several supplementary agents with different mechanisms of action that may provide an additive effect.
引用
收藏
页码:14 / 18
页数:5
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