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We recently developed an implantable neuroprosthesis that applied epidural electrical stimulation over the thoracic spinal cord to activate sympathetic preganglionic neurons in a patient with...
Orthostatic hypotension (OH), a common, often overlooked, disorder with many causes, is associated with debilitating symptoms, falls, syncope, cognitive impairment, and risk of death.
The goals of treatment for orthostatic hypotension are to prevent blood pressure from falling too low and improve quality of life. Treatment targets the underlying cause and low blood pressure itself.
Orthostatic hypotension is common, particularly among patients 60 years and older and patients with neurodegenerative disorders causing baroreflex dysfunction, spinal cord disorders, and small fibre neuropathies, and is associated with impaired quality of life and adverse outcomes.
There are ongoing concerns that orthostatic hypotension in the setting of more intensive blood pressure treatment represents a greater risk of adverse events from treatment. Our data challenges this notion and the practice of reducing hypertension treatment in response to orthostatic hypotension.
Research Highlights: Treatment to lower blood pressure did not increase and may decrease the risk of extreme drops in blood pressure upon standing from a sitting position. These findings suggest that orthostatic hypotension, a type of low blood ...
Concern about orthostatic hypotension (OH) and its implications for fall risk is one of the most common reasons for less intensive blood pressure treatment in older adults. Prior studies have shown that among older adults, the highest risk for OH is in individuals with uncontrolled systolic hypertension. 2.
Orthostatic hypotension treatments vary by what’s causing it. Treatments may include: Treating a condition or disease that’s causing orthostatic hypotension. Changing the dose of a medication that causes orthostatic hypotension or switching to a different drug. Sitting up in bed if you’re on bed rest. Wearing elastic stockings on your legs.
Orthostatic hypotension is defined as a decrease in blood pressure of 20 mm Hg or more systolic or 10 mm Hg or more diastolic within three minutes of standing from the supine position or on...
For mild orthostatic hypotension, one of the simplest treatments is to sit or lie back down immediately after feeling lightheaded upon standing. Often, symptoms will disappear. Sometimes, medications are needed to treat orthostatic hypotension.