Neurogenic orthostatic hypotension

被引:249
作者
Freeman, Roy [1 ]
机构
[1] Harvard Univ, Ctr Autonom & Peripheral Nerve Disorders, Beth Israel Deaconess Med Ctr, Sch Med,Dept Neurol, Boston, MA 02215 USA
关键词
D O I
10.1056/NEJMcp074189
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 65-year-old man reports a 6-month history of dizziness, light-headedness, weakness, and fatigue while upright. He takes no medication and has no personal or family history of neurologic disease. On physical examination, his supine blood pressure is 160/100 mm Hg, with a heart rate of 72 beats per minute; on standing, his blood pressure falls to 70/40 mm Hg, with no change in heart rate. The results of the remainder of the examination, including neurologic examination, are normal. How should he be evaluated and treated? Copyright © 2008 Massachusetts Medical Society.
引用
收藏
页码:615 / 624
页数:10
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