Top 10 orthostatic hypertension treatment in 2022

Below are the best information and knowledge on the subject orthostatic hypertension treatment compiled and compiled by our own team alltopus:

1. Orthostatic hypotension (postural hypotension) – Diagnosis and treatment – Mayo Clinic

Author: www.mayoclinic.org

Date Submitted: 06/29/2020 03:35 PM

Average star voting: 5 ⭐ ( 49710 reviews)

Summary:

Match with the search results: . Your doctor may suggest several lifestyle changes, including drinking enough water; drinking little to no alcohol; avoiding overheating; elevating the head of your bed; avoiding crossing your legs when sitting; and standing up slowly….. read more

Orthostatic hypotension (postural hypotension) - Diagnosis and treatment - Mayo Clinic

2. Orthostatic Hypertension

Author: www.ahajournals.org

Date Submitted: 02/25/2021 08:23 PM

Average star voting: 3 ⭐ ( 67855 reviews)

Summary:

Match with the search results: Whether first-line medications should be substituted by α-adrenoreceptor blockers, which appear to be particularly efficacious in lowering blood ……. read more

Orthostatic Hypertension

3. Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin | Hypertension Research

Author: www.ncbi.nlm.nih.gov

Date Submitted: 04/19/2021 01:27 AM

Average star voting: 4 ⭐ ( 69135 reviews)

Summary: To determine the role of home blood pressure (BP) monitoring for a reproducible assessment of orthostatic hypertension (OHT) and the effectiveness of hypertension control by doxazosin. In this study, 605 medicated hypertensive outpatients were enrolled. Home BP in the sitting and standing positions was monitored in all patients in the morning and evening for 6 months. According to an open-label multicenter trial design, the patients were randomly allocated to either an intervention group that took doxazosin (1–4 mg) at bedtime or to a control group that did not receive any add-on medication. The patients were divided into deciles of orthostatic BP change as evaluated by home BP monitoring at baseline. Those in the top decile, in the lowest decile and in deciles two through eight were then assigned to the OHT group, the orthostatic hypotension group and the orthostatic normotension group, respectively.Orthostatic BP in the OHYPO group did not change, whereas that of the OHT group was markedly reduced by doxazosin (P<0.01). In the control group, classification into orthostatic BP categories using home BP monitoring was more reproducible (κ coefficient: 0.42–0.50) than when using clinical BP (κ coefficient: 0.13–0.24). In all groups, a reduction in the urinary albumin/creatinine ratio was significantly associated with a reduction in orthostatic BP doxazosin (P<0.001).The identification of OHT based on home BP monitoring was highly reproducible. The administration of doxazosin might control OHT and consequently prevent target organ damage.

Match with the search results: Midodrine, a vasopressor, is effective and safe when used for treating neurogenic orthostatic hypotension. … It has been shown to increase standing systolic ……. read more

Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin | Hypertension Research

4. Low Blood Pressure (Orthostatic Hypotension): Causes, Symptoms & Treatments

Author: www.nature.com

Date Submitted: 09/15/2019 04:51 PM

Average star voting: 5 ⭐ ( 75823 reviews)

Summary: Orthostatic hypotension causes a sudden drop in blood pressure when you stand up. You may feel dizzy or faint.

Match with the search results: The dose of doxazosin was increased to 2 mg per day and then to 4 mg per day at follow-up visits performed at monthly intervals until morning ……. read more

Low Blood Pressure (Orthostatic Hypotension): Causes, Symptoms & Treatments

5. Evaluation and Management of Orthostatic Hypotension

Author: my.clevelandclinic.org

Date Submitted: 08/31/2020 11:09 PM

Average star voting: 3 ⭐ ( 35946 reviews)

Summary: Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position. It results from an inadequate physiologic response to postural changes in blood pressure. Orthostatic hypotension may be acute or chronic, as well as symptomatic or asymptomatic. Common symptoms include dizziness, lightheadedness, blurred vision, weakness, fatigue, nausea, palpitations, and headache. Less common symptoms include syncope, dyspnea, chest pain, and neck and shoulder pain. Causes include dehydration or blood loss; disorders of the neurologic, cardiovascular, or endocrine systems; and several classes of medications. Evaluation of suspected orthostatic hypotension begins by identifying reversible causes and underlying associated medical conditions. Head-up tilt-table testing can aid in confirming a diagnosis of suspected orthostatic hypotension when standard orthostatic vital signs are nondiagnostic; it also can aid in assessing treatment response in patients with an autonomic disorder. Goals of treatment involve improving hypotension without excessive supine hypertension, relieving orthostatic symptoms, and improving standing time. Treatment includes correcting reversible causes and discontinuing responsible medications, when possible. Nonpharmacologic treatment should be offered to all patients. For patients who do not respond adequately to nonpharmacologic treatment, fludrocortisone, midodrine, and pyridostigmine are pharmacologic therapies proven to be beneficial.

Match with the search results: How is orthostatic hypotension managed or treated? · Droxidopa (Northera®). · Erythropoiesis-stimulating agents (ESAs). · Fludrocortisone (Florinef ……. read more

Evaluation and Management of Orthostatic Hypotension

6. Orthostatic Hypertension: When Pressor Reflexes Overcompensate

Author: www.aafp.org

Date Submitted: 07/18/2020 07:43 PM

Average star voting: 4 ⭐ ( 54290 reviews)

Summary: Authors from the Autonomic Dysfunction Center at Vanderbilt University present a comprehensive overview of the definition, pathophysiology, diagnosis and treatment of blood pressure dysregulation.

Match with the search results: Goals of treatment involve improving hypotension without excessive supine hypertension, relieving orthostatic symptoms, and improving ……. read more

Orthostatic Hypertension: When Pressor Reflexes Overcompensate

7. Orthostatic Hypertension – an overview | ScienceDirect Topics

Author: www.medscape.com

Date Submitted: 03/26/2019 12:58 PM

Average star voting: 4 ⭐ ( 38709 reviews)

Summary:

Match with the search results: Fortunately, although orthostatic hypertension is an underappreciated clinical phenomenon, diagnosis of the condition is relatively straightforward. What is ……. read more

Orthostatic Hypertension - an overview | ScienceDirect Topics

8. Orthostatic Hypertension in Children: An Update

Author: www.sciencedirect.com

Date Submitted: 05/06/2021 05:04 PM

Average star voting: 5 ⭐ ( 66378 reviews)

Summary: The concept of orthostatic hypertension in children was first proposed in 2012. The pathogenesis is not clear by now. Orthostatic hypertension is one of the important causes of orthostatic intolerance in children and is related to the development of essential hypertension in the future. It is commonly seen in older children, with dizziness and syncope as their main clinical manifestations. Non-drug therapy is the commonly used treatment strategy, which is effective to improve the orthostatic intolerance symptoms. In this paper, we reviewed the clinical studies on the pathogenesis, clinical characteristics, diagnostic criteria and treatment of orthostatic hypertension in children, aiming to provide new insights for the future studies on pediatric orthostatic hypertension.

Match with the search results: Midodrine therapy is started with a dose of 2.5 mg and increased to no more than 10 mg three times a day. A typical daily regimen includes a dose before ……. read more

Orthostatic Hypertension in Children: An Update

9. Orthostatic hypotension: Causes, symptoms, and prevention

Author: www.frontiersin.org

Date Submitted: 03/09/2021 09:49 PM

Average star voting: 3 ⭐ ( 62862 reviews)

Summary: Find out about the drop in blood pressure that causes orthostatic hypotension, including how and why it occurs. Learn the symptoms and how to manage them.

Match with the search results: Some studies have examined drug therapy in elderly patients with OHT. Oral administration of alpha-adrenergic blockers could significantly ……. read more

Orthostatic hypotension: Causes, symptoms, and prevention

10. Orthostatic Hypotension in the Hypertensive Patient

Author: www.uptodate.com

Date Submitted: 10/01/2020 05:32 PM

Average star voting: 5 ⭐ ( 64286 reviews)

Summary: Abstract. Orthostatic hypotension (OH) is an important and common medical problem, particularly in the frail elderly with multiple comorbidities and polypharmac

Match with the search results: Orthostatic hypotension (OH) describes a reduction in systolic blood pressure of at least 20 mmHg or a reduction in diastolic blood pressure ……. read more

Orthostatic Hypotension in the Hypertensive Patient

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