Why the study?
What are the diagnostic methods and treatment targets for orthostatic hypotension?
What are the diagnostic methods and treatment targets for orthostatic hypotension?
Therapy for orthostatic hypotension should focus on symptom reduction and functional improvement rather than strict blood pressure targets.
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Supports symptom-focused care over BP targets in orthostatic hypotension; extends systematic evidence for functional outcomes in guidelines.
Since orthostatic hypotension is largely asymptomatic, performing an orthostatic challenge is considered as the main mean to diagnose it. One should try to define the causes of orthostatic hypotension in every single case as treating illness that lead to orthostatic hypotension will improve patient’s health outcomes. The main target for therapy should be improving patient’s functional status, reducing orthostatic symptoms as well as risk for falls and syncopes, but not maintaining arterial blood pressure within certain limits. The higher the doctors’ awareness of the methods used to diagnose the orthostatic hypotension, the better patient’s quality of life will be. The first part of the systematic review was published in the Innovative Medicine of Kuban, nr. 4, 2018.
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Golovina et al. (2020) studied this question.
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