Orthostatic hypotension: definition, classification and evaluation.
Blood Press
; 28(3): 146-156, 2019 06.
Article
in En
| MEDLINE
| ID: mdl-30982364
ABSTRACT
PURPOSE:
Orthostatic hypotension (OH) is a common and clinically important disorder. Published papers vary regarding the definitions of OH and methodologies of evaluation. Moreover, substantial gaps in the skills and knowledge required for assessment of OH have been reported by clinicians. We aimed to provide current information regarding the definition, classification and evaluation of OH.METHODS:
We performed a comprehensive search of medical databases, using the following keywords "postural hypotension" or "orthostatic hypotension", combined with "definition", "classification", "diagnosis", "evaluation" or "meaning". We selected for this review the most relevant recent publications and key papers in the field, published in the English language.RESULTS:
Current data regarding definitions, classification and the evaluation of OH are reviewed. The various aspects of OH assessment are extensively discussed. Considerable discrepancies exist between the published guidelines regarding the methodology of OH diagnosing. We propose an algorithm for OH evaluation and a standardized protocol for bedside determination of OH by healthcare providers.CONCLUSIONS:
Correct assessment of OH is essential for its accurate diagnosis. The methodology of OH evaluation has not been sufficiently standardized. We emphasize the clinical importance of the uniform investigation of OH, according to the current guidelines for OH definition and meaning.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hypotension, Orthostatic
Type of study:
Diagnostic_studies
/
Guideline
/
Systematic_reviews
Limits:
Humans
Language:
En
Journal:
Blood Press
Journal subject:
ANGIOLOGIA
Year:
2019
Type:
Article
Affiliation country:
Israel