Orthostatic hypotension: pathophysiology, assessment, treatment and the paradox of supine hypertension

被引：47

作者：

Chisholm, Peter ^{[1
]}

Anpalahan, Mahesan ^{[1
,2
,3
]}

机构：

[1] Eastern Hlth, Melbourne, Vic, Australia

[2] Univ Melbourne, North West Acad Ctr, Dept Med, Melbourne, Vic, Australia

[3] Monash Univ, Dept Med, Melbourne, Vic, Australia

来源：

INTERNAL MEDICINE JOURNAL | 2017年 / 47卷 / 04期

关键词：

orthostatic hypotension; orthostatic intolerance; syncope; supine hypertension; nocturnal hypertension; BLOOD-PRESSURE; POSTPRANDIAL HYPOTENSION; CARDIOVASCULAR RISK; AUTONOMIC FAILURE; HIGH PREVALENCE; PLASMA-VOLUME; DIAGNOSIS; MANAGEMENT; MIDODRINE; EFFICACY;

D O I：

10.1111/imj.13171

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Both hypertension and orthostatic hypotension (OH) are strongly age-associated and are common management problems in older people. However, unlike hypertension, management of OH has unique challenges with few well-established treatments. Not infrequently, they both coexist, further compounding the management. This review provides comprehensive information on OH, including pathophysiology, diagnostic workup and treatment, with a view to provide a practical guide to its management. Special references are made to patients with supine hypertension and postprandial hypotension and older hypertensive patients.

引用

收藏

页码：370 / 379

页数：10

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