Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society

Hyun Ah Kim, Alexandre Bisdorff, Adolfo M. Bronstein, Thomas Lempert, Marcos Rossi-Izquierdo, Jeffrey P Staab, Michael Strupp, Ji Soo Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.

Original languageEnglish (US)
Pages (from-to)45-56
Number of pages12
JournalJournal of Vestibular Research: Equilibrium and Orientation
Volume29
Issue number2-3
DOIs
StatePublished - Jan 1 2019

Fingerprint

Vertigo
Dizziness
Consensus
Hemodynamics
Orthostatic Hypotension
Postural Orthostatic Tachycardia Syndrome
Tachycardia
Syncope
Terminology
Documentation
Heart Rate
Head
Blood Pressure

Keywords

  • autonomic dysfunction
  • Bárány Society
  • classification
  • hemodynamic
  • orthostatic dizziness
  • orthostatic hypotension
  • Orthostatic vertigo
  • postural tachycardia syndrome

ASJC Scopus subject areas

  • Neuroscience(all)
  • Otorhinolaryngology
  • Sensory Systems
  • Clinical Neurology

Cite this

Hemodynamic orthostatic dizziness/vertigo : Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society. / Kim, Hyun Ah; Bisdorff, Alexandre; Bronstein, Adolfo M.; Lempert, Thomas; Rossi-Izquierdo, Marcos; Staab, Jeffrey P; Strupp, Michael; Kim, Ji Soo.

In: Journal of Vestibular Research: Equilibrium and Orientation, Vol. 29, No. 2-3, 01.01.2019, p. 45-56.

Research output: Contribution to journalArticle

Kim, Hyun Ah ; Bisdorff, Alexandre ; Bronstein, Adolfo M. ; Lempert, Thomas ; Rossi-Izquierdo, Marcos ; Staab, Jeffrey P ; Strupp, Michael ; Kim, Ji Soo. / Hemodynamic orthostatic dizziness/vertigo : Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society. In: Journal of Vestibular Research: Equilibrium and Orientation. 2019 ; Vol. 29, No. 2-3. pp. 45-56.
@article{6e88b365873b409c99556f0d44aa9f51,
title = "Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the B{\'a}r{\'a}ny Society",
abstract = "This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.",
keywords = "autonomic dysfunction, B{\'a}r{\'a}ny Society, classification, hemodynamic, orthostatic dizziness, orthostatic hypotension, Orthostatic vertigo, postural tachycardia syndrome",
author = "Kim, {Hyun Ah} and Alexandre Bisdorff and Bronstein, {Adolfo M.} and Thomas Lempert and Marcos Rossi-Izquierdo and Staab, {Jeffrey P} and Michael Strupp and Kim, {Ji Soo}",
year = "2019",
month = "1",
day = "1",
doi = "10.3233/VES-190655",
language = "English (US)",
volume = "29",
pages = "45--56",
journal = "Journal of Vestibular Research: Equilibrium and Orientation",
issn = "0957-4271",
publisher = "IOS Press",
number = "2-3",

}

TY - JOUR

T1 - Hemodynamic orthostatic dizziness/vertigo

T2 - Diagnostic criteria: Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society

AU - Kim, Hyun Ah

AU - Bisdorff, Alexandre

AU - Bronstein, Adolfo M.

AU - Lempert, Thomas

AU - Rossi-Izquierdo, Marcos

AU - Staab, Jeffrey P

AU - Strupp, Michael

AU - Kim, Ji Soo

PY - 2019/1/1

Y1 - 2019/1/1

N2 - This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.

AB - This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.

KW - autonomic dysfunction

KW - Bárány Society

KW - classification

KW - hemodynamic

KW - orthostatic dizziness

KW - orthostatic hypotension

KW - Orthostatic vertigo

KW - postural tachycardia syndrome

UR - http://www.scopus.com/inward/record.url?scp=85070198447&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070198447&partnerID=8YFLogxK

U2 - 10.3233/VES-190655

DO - 10.3233/VES-190655

M3 - Article

C2 - 30883381

AN - SCOPUS:85070198447

VL - 29

SP - 45

EP - 56

JO - Journal of Vestibular Research: Equilibrium and Orientation

JF - Journal of Vestibular Research: Equilibrium and Orientation

SN - 0957-4271

IS - 2-3

ER -