scispace - formally typeset
Journal ArticleDOI

Orthostatic hypotension and orthostatic tachycardia: treatment with the head-up bed

Alexander R. MacLean, +1 more
- 21 Dec 1940 - 
- Vol. 115, Iss: 25, pp 2162-2167
Reads0
Chats0
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 the

read more

Citations
More filters
Journal ArticleDOI

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, +1 more
- 01 May 1960 - 
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
More filters
Journal ArticleDOI

Sympathetic vasodilator fibers in the upper and lower extremities: observations concerning the mechanism of indirect vasodilatation induced by heat

TL;DR: In 1890 Sewall and Sanford found that placing one upper extremity in warm water induced vasodilatation in the fingers of the opposite hand, and Stewart 2 corroborated this observation by means of calorimetric determinations of the blood flow to the hand.
Journal ArticleDOI

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.
Related Papers (5)