کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5690245 | 1410024 | 2017 | 13 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Orthostatic hypotension: A review
ترجمه فارسی عنوان
هیپوتانسیون ارتواستیک: بررسی
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
چکیده انگلیسی
Orthostatic hypotension, defined by a drop in blood pressure of at least 20Â mmHg for systolic blood pressure and at least 10Â mmHg for diastolic blood pressure within 3Â minutes of standing up, is a frequent finding, particularly in elderly patients. It is associated with a significant increase in morbidity and mortality. Although it is often multifactorial, the first favoring factor is medications. Other etiologies are divided in neurogenic orthostatic hypotension, characterized by autonomic failure due to central or peripheral nervous system disorders, and non-neurogenic orthostatic hypotension, mainly favoured by hypovolemia. Treatment always requires education of the patient regarding triggering situations and physiological countermanoeuvers. Pharmacological treatment may sometimes be necessary and mainly relies on volume expansion by fludrocortisone and/or a vasopressor agents such as midodrine. There is no predefined blood pressure target, the goal of therapy being the relief of symptoms and fall prevention.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Néphrologie & Thérapeutique - Volume 13, Supplement 1, April 2017, Pages S55-S67
Journal: Néphrologie & Thérapeutique - Volume 13, Supplement 1, April 2017, Pages S55-S67
نویسندگان
Adrien Joseph, Ruben Wanono, Martin Flamant, Emmanuelle Vidal-Petiot,