Management of neurogenic orthostatic hypotension: an update

Research output: Contribution to journalArticle

138 Citations (Scopus)

Abstract

Orthostatic hypotension (OH) is common in elderly people and in patients with disorders such as diabetes and Parkinson's disease. Grading of the severity of OH and its effect on the patient's quality of life are important. The symptoms vary with orthostatic stress, and subtle symptoms such as tiredness and cognitive impairment should be recognised. Standard drug treatment for OH is effective but worsens supine hypertension, whereas pyridostigmine can improve OH slightly but significantly without worsening of supine hypertension. Because orthostatic stress varies from moment to moment and drug treatment is suboptimal, drug treatment of OH needs to be combined with non-pharmacological approaches, such as compression of venous capacitance beds, use of physical counter-manoeuvres, and intermittent water-bolus treatment.

Original languageEnglish (US)
Pages (from-to)451-458
Number of pages8
JournalThe Lancet Neurology
Volume7
Issue number5
DOIs
StatePublished - May 2008

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Orthostatic Hypotension
Pharmaceutical Preparations
Pyridostigmine Bromide
Hypertension
Water Purification
Parkinson Disease
Therapeutics
Quality of Life

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Management of neurogenic orthostatic hypotension : an update. / Low, Phillip Anson; Singer, Wolfgang.

In: The Lancet Neurology, Vol. 7, No. 5, 05.2008, p. 451-458.

Research output: Contribution to journalArticle

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