Preventing and treating orthostatic hypotension: As easy as A, B, C

被引:112
作者
Figueroa, Juan J. [1 ]
Basford, Jeffrey R. [2 ]
Low, Phillip A. [1 ]
机构
[1] Mayo Clin, Dept Neurol, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Phys Med & Rehabil, Rochester, MN 55905 USA
基金
美国国家卫生研究院;
关键词
MULTIPLE SYSTEM ATROPHY; AUTONOMIC FAILURE; WATER DRINKING; BLOOD-PRESSURE; PLASMA-VOLUME; DOUBLE-BLIND; FLUDROCORTISONE; INTOLERANCE; EFFICACY; SYNCOPE;
D O I
10.3949/ccjm.77a.09118
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Orthostatic hypotension is a chronic, debilitating illness that is difficult to treat. The therapeutic goal is to improve postural symptoms, standing time, and function rather than to achieve upright normotension, which can lead to supine hypertension. Drug therapy alone is never adequate. Because orthostatic stress varies with circumstances during the day, a patient-oriented approach that emphasizes education and nonpharmacologic strategies is critical. We provide easy-to-remember management recommendations, using a combination of drug and non-drug treatments that have proven efficacious.
引用
收藏
页码:298 / 306
页数:9
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