Journal ArticleDOI
Orthostatic hypotension and orthostatic tachycardia: treatment with the head-up bed
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TLDR
Orthostatic hypotension should be suspected whenever a patient has exhaustion in the morning which lessens during the day, whenever weakness, dimness of vision or syncope occurs on assumption of the erect posture and disappears on lying down, whenever episodes of syncope are inadequately explained and whenever there is diminished sweating.Abstract:
Orthostatic hypotension is characterized chiefly by a sharp decrease in blood pressure when a patient afflicted with it stands. The blood pressure is ordinarily normal when the patient lies. If the blood pressure decreases to a low level, weakness and syncope result. Other relevant signs or symptoms are deficient sweating, either localized or generalized, secretion of larger amounts of urine when the patient is recumbent than when he is erect and in some cases a failure of the pulse rate to increase markedly when the patient assumes the erect posture. Orthostatic hypotension should be suspected whenever a patient has exhaustion in the morning which lessens during the day, whenever weakness, dimness of vision or syncope occurs on assumption of the erect posture and disappears on lying down, whenever episodes of syncope are inadequately explained and whenever there is diminished sweating. This condition has been considered by some to be theread more
Citations
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Guidelines on management (diagnosis and treatment) of syncope
Michele Brignole,Paolo Alboni,David G. Benditt,Lennart Bergfeldt,Jean-Jacques Blanc,P. E. Bloch Thomsen,J.G. van Dijk,A. P. Fitzpatrick,Stefan H. Hohnloser,Jan Janoušek,Wishwa N. Kapoor,Rose Anne Kenny,Piotr Kułakowski,Angel Moya,A. Raviele,Richard Sutton,George Theodorakis,Wouter Wieling +17 more
TL;DR: Table of contents Preamble Scope of the document: Classification, epidemiology and prognosis and diagnosis strategy of evaluation, method, and findings.
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The scientific and clinical basis for the treatment of Parkinson disease (2009)
TL;DR: This monograph provides an overview of the management of PD patients, with an emphasis on pathophysiology, and the results of recent clinical trials to provide physicians with an understanding of the different treatment options that are available for managing the different stages of the disease and the scientific rationale of theDifferent approaches.
Journal ArticleDOI
A neurological syndrome associated with orthostatic hypotension: a clinical-pathologic study.
G M Shy,G A Drager +1 more
TL;DR: Patients with idiopathic orthostatic hypotension may show wide swings in blood pressure, but do not have the pulse changes or symptoms, such as yawning, nausea, or increased sweating, associated with other types of syncope in which the nervous system is intact.
Journal ArticleDOI
An algorithm (decision tree) for the management of Parkinson's disease (2001): treatment guidelines.
TL;DR: Physicians who treat PD patients must now assimilate a considerable body of data to optimally manage patients with this complex disorder and to a variety of new treatment strategies for the management of PD.
Journal ArticleDOI
The vasovagal response.
TL;DR: The vasovagal response is the development of inappropriate cardiac slowing and arteriolar dilatation that reflects autonomic neural changes: bradycardia results from sudden augmentation of efferent vagal activity, and hypotensionresults from sudden reduction or cessation of sympathetic activity and relaxation of arterial resistance vessels.
References
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The role of the venous system in circulatory collapse induced by sodium nitrite.
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Postural hypotension with syncope: its successful treatment with ephedrin
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Sympathetic vasodilator fibers in the upper and lower extremities: observations concerning the mechanism of indirect vasodilatation induced by heat
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Benzedrine and paredrine in the treatment of orthostatic hypotension, with supplementary case report
TL;DR: In January, 1937, in a report1 of the experience with benzedrine in the treatment of orthostatic hypotension, it was pointed out that if amounts of either Benzedrine or ephedrine sufficiently enough to treat hypotension were sufficiently high, then the hypotension would be treatable.
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