ASH Position Paper: Evaluation and Treatment of Orthostatic Hypotension
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This paper provides recommendations on the treatment of orthostatic hypotension (OH) as reviewed by the American Society of Hypertension. 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.
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Syncope due to OH is confirmed when syncope occurs while standing and there is concomitant significant OH.
“Syncope due to OHis confirmed when syncope occurs while standing and there is concomitant significant OH. 18-24”
From 2018 ESC Guidelines for the diagnosis and management of syncope (2018) · cites this paper as [18]
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2018 ESC Guidelines for the diagnosis and management of syncope
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Fanciulli, A., Strano, S., Ndayisaba, J. P., Goebel, G., Gioffrè, L., Rizzo, M., Colosimo, C., Caltagirone, C., Poewe, W., Wenning, G. K., et al. (2014) · Journal of Neurology · doi:10.1007/s00415-014-7339-2 · Cited by 67 · see citing works
- Authors
- Shibao, C., Lipsitz, L. A., & Biaggioni, I.
- Affiliations
- Vanderbilt University (US)
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Biaggioni, Italo
- Venue
- The Journal of Clinical Hypertension
- Publisher
- Wiley
- Published
- 2013-01-14
- Volume
- 15
- Issue
- 3
- Pages
- 147-153
- ISSN
- 1524-6175 (ISSN-L)
- 1751-7176
- PMC
- PMC8033893
- OpenAlex
- W1985761700
- Cited by
- 110
- References
- 36
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 10 · 2020: 12 · 2019: 14 · 2018: 14 · 2017: 10 · 2016: 13 · 2015: 7 · 2014: 6 · 2013: 5
- FWCI
- 1.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Hypertension (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (P01HL056693)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- orthostatic hypotension, syncope, falls, non-pharmacological treatment, pharmacotherapy, behavioral interventions, screening and diagnosis, hypertensive patients, hospitalized patients, clinical guidelines
- MeSH terms
- Blood Pressure, Humans, Hypertension, Hypotension, Orthostatic, Risk Factors, Syncope, Treatment Outcome, Practice Guidelines as Topic
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