Res Vestib Sci.  2017 Sep;16(3):73-79. 10.21790/rvs.2017.16.3.73.

Treatment of Neurogenic Orthostatic Hypotension

Affiliations
  • 1Department of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea. sbkim@khu.ac.kr

Abstract

Orthostatic hypotension (OH) is a common feature of sympathetic autonomic dysfunction and can lead to lightheadedness, weakness, dizziness, and syncope. It is defined as decrease in systolic blood pressure of at least 20 mm Hg or diastolic blood pressure of at least 10 mm Hg within 3 minutes of standing. OH is associated with an increased incidence of cerebrovascular disease, myocardial infarction, and mortality. Non-pharmacological treatments may alleviate OH-related symptoms; however, are not sufficient when used alone. Pharmacological treatment is essential in managing OH. In this review, we aimed to discuss non-pharmacological and pharmacological treatment options for OH.

Keyword

Hypotension; Orthostatic; Therapeutics; Supine position; Hypertension

MeSH Terms

Blood Pressure
Cerebrovascular Disorders
Dizziness
Hypertension
Hypotension
Hypotension, Orthostatic*
Incidence
Mortality
Myocardial Infarction
Supine Position
Syncope
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