Open AccessASH Position Paper: Evaluation and Treatment of Orthostatic Hypotension
Author(s) -
Shibao Cyndya,
Lipsitz Lewis Arnold,
Biaggioni Italo
Publication year - 2013
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12062
Subject(s) - medicine , orthostatic vital signs , syncope (phonology) , intensive care medicine , clinical trial , physical therapy , blood pressure
This paper provides recommendations on the treatment of orthostatic hypotension ( OH ) as reviewed by the A merican S ociety of H ypertension. It focuses on recent reports on the evaluation and management of OH and provides practical advice for clinicians on how to screen, diagnose, and treat patients using behavioral, nonpharmacologic, and pharmacologic strategies. The authors also provide a stepwise approach on how to apply new findings to successfully control OH and reduce the risk of syncope and falls in these patients. Treatment of OH is also discussed in special situations such as in hypertensive and hospitalized patients. It should be noted, however, that research in this area is mostly limited to studies in small numbers of patients. Unfortunately, the trials of the type needed to develop evidence‐based guidelines are not available for this condition.