Consensus statement on the definition of orthostatic hypertension endorsed by the American Autonomic Society and the Japanese Society of Hypertension

被引：24

作者：

Jordan, Jens ^{[1
,2
]}

Biaggioni, Italo ^{[3
,4
]}

Kotsis, Vasilios ^{[5
]}

Nilsson, Peter ^{[6
]}

Grassi, Guido ^{[7
]}

Fedorowski, Artur ^{[6
,8
]}

Kario, Kazuomi ^{[9
,10
]}

机构：

[1] German Aerosp Ctr DLR, Inst Aerosp Med, D-51147 Cologne, Germany

[2] Univ Cologne, Med Fac, Cologne, Germany

[3] Vanderbilt Univ, Auton Dysfunct Ctr, Med Ctr, Nashville, TN USA

[4] Vanderbilt Univ, Dept Med, Div Clin Pharmacol, Med Ctr, Nashville, TN USA

[5] Aristotle Univ Thessaloniki, Papageorgiou Hosp, Hypertens 24 H ABPM ESH Ctr Excellence, Dept Internal Med 3, Thessaloniki, Greece

[6] Lund Univ, Dept Clin Sci, Malmo, Sweden

[7] Univ Milano Bicocca, Dept Med & Surg, Clin Med, Monza, Italy

[8] Karolinska Inst, Karolinska Univ Hosp, Dept Cardiol, Dept Med, Stockholm, Sweden

[9] Jichi Univ, Dept Cardiol, Sch Med, Shimotsuke, Tochigi, Japan

[10] Jichi Med Univ, Dept Med, Div Cardiovasc Med, Sch Med,JMU, 3311-1 Yakushiji, Shimotsuke, Tochigi 3290498, Japan

来源：

CLINICAL AUTONOMIC RESEARCH | 2023年 / 33卷 / 01期

关键词：

Adrenergic; Autonomic nervous system; Baroreflex; Circadian rhythm; Orthostatic hypertension; Orthostatic pressor response; Sympathetic nervous system; BLOOD-PRESSURE RESPONSE; CARDIOVASCULAR RISK; HYPOTENSION; MORTALITY; DISEASE;

D O I：

10.1007/s10286-022-00897-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We propose a consensus definition of "an exaggerated orthostatic pressor response" in subjects in whom systolic blood pressure increases >= 20 mmHg when going from supine to standing posture. This definition can be extended for seated to standing measurements. We reserve the term "orthostatic hypertension" for when this pressor response leads to an upright systolic blood pressure >= 140 mmHg. We believe this consensus definition will help in the study of the pathophysiology, clinical impact, and potential treatment of these entities, and identification of patients who are at greater cardiovascular risk.

引用

页码：69 / 73

页数：5

共 29 条

[1] Evidence for a Prognostic Role of Orthostatic Hypertension on Survival in a Very Old Institutionalized Population [J].

Agnoletti, Davide ;

Valbusa, Filippo ;

Labat, Carlos ;

Gautier, Sylvie ;

Mourad, Jean-Jacques ;

Benetos, Athanase .

HYPERTENSION, 2016, 67 (01) :191-196

[2] Standing orthostatic blood pressure measurements cannot be replaced by sitting measurements [J].

Breeuwsma, Anna C. ;

Hartog, Laura C. ;

Kamper, Adriaan M. ;

Groenier, Klaas H. ;

Bilo, Henk J. G. ;

Kleefstra, Nanne ;

Van Hateren, Kornelis J. J. .

HYPERTENSION RESEARCH, 2017, 40 (08) :765-770

[3] The Malmo Offspring Study (MOS): design, methods and first results [J].

Brunkwall, Louise ;

Jonsson, Daniel ;

Ericson, Ulrika ;

Hellstrand, Sophie ;

Kennback, Cecilia ;

Ostling, Gerd ;

Jujic, Amra ;

Melander, Olle ;

Engstrom, Gunnar ;

Nilsson, Jan ;

Ohlsson, Bodil ;

Klinge, Bjorn ;

Orho-Melander, Marju ;

Persson, Margaretha ;

Nilsson, Peter M. .

EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2021, 36 (01) :103-116

[4] Disorders of Orthostatic Blood Pressure Response Are Associated With Cardiovascular Disease and Target Organ Damage in Hypertensive Patients [J].

Fan, Xiao-Han ;

Wang, Yibo ;

Sun, Kai ;

Zhang, Weili ;

Wang, Hu ;

Wu, Haiying ;

Zhang, Huimin ;

Zhou, Xianliang ;

Hui, Rutai .

AMERICAN JOURNAL OF HYPERTENSION, 2010, 23 (08) :829-837

[5] Orthostatic blood pressure response, carotid intima-media thickness, and plasma fibrinogen in older nondiabetic adults [J].

Fedorowski, Artur ;

Ostling, Gerd ;

Persson, Margaretha ;

Struck, Joachim ;

Engstrom, Gunnar ;

Nilsson, Peter M. ;

Hedblad, Bo ;

Melander, Olle .

JOURNAL OF HYPERTENSION, 2012, 30 (03) :522-529

[6] Orthostatic hypotension predicts all-cause mortality and coronary events in middle-aged individuals (The Malmo Preventive Project) [J].

Fedorowski, Artur ;

Stavenow, Lars ;

Hedblad, Bo ;

Berglund, Goran ;

Nilsson, Peter M. ;

Melander, Olle .

EUROPEAN HEART JOURNAL, 2010, 31 (01) :85-91

[7] A practical guide to active stand testing and analysis using continuous beat-to-beat non-invasive blood pressure monitoring [J].

Finucane, Ciaran ;

van Wijnen, V. K. ;

Fan, C. W. ;

Soraghan, C. ;

Byrne, L. ;

Westerhof, B. E. ;

Freeman, R. ;

Fedorowski, A. ;

Harms, M. P. M. ;

Wieling, W. ;

Kenny, R. .

CLINICAL AUTONOMIC RESEARCH, 2019, 29 (04) :427-441

[8] Orthostatic Hypotension in the ACCORD (Action to Control Cardiovascular Risk in Diabetes) Blood Pressure Trial: Prevalence, Incidence, and Prognostic Significance [J].

Fleg, Jerome L. ;

Evans, Gregory W. ;

Margolis, Karen L. ;

Barzilay, Joshua ;

Basile, Jan N. ;

Bigger, J. Thomas ;

Cutler, Jeffrey A. ;

Grimm, Richard ;

Pedley, Carolyn ;

Peterson, Kevin ;

Pop-Busui, Rodica ;

Sperl-Hillen, JoAnn ;

Cushman, William C. .

HYPERTENSION, 2016, 68 (04) :888-895

[9] Orthostatic Hypotension JACC State-of-the-Art Review [J].

Freeman, Roy ;

Abuzinadah, Ahmad R. ;

Gibbons, Christopher ;

Jones, Pearl ;

Miglis, Mitchell G. ;

Sinn, Dong In .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2018, 72 (11) :1294-1309

[10] Orthostatic hypertension: home blood pressure monitoring for detection and assessment of treatment with doxazosin [J].

Hoshide, Satoshi ;

Parati, Gianfranco ;

Matsui, Yoshio ;

Shibazaki, Seiichi ;

Eguchi, Kazuo ;

Kario, Kazuomi .

HYPERTENSION RESEARCH, 2012, 35 (01) :100-106

← 1 2 3 →