Key result
Symptom control of neurogenic orthostatic hypotension can be achieved through a combination of patient education, non-pharmacologic measures, and pharmacologic therapy.
This review provides a practical approach for clinicians to diagnose and manage neurogenic orthostatic hypotension.
Supplies a practical management approach for neurogenic orthostatic hypotension; leaves open validation in prospective trials.
Neurogenic orthostatic hypotension (NOH) is a debilitating condition associated with many central and peripheral neurological disorders. It has a complex pathophysiology and variable clinical presentation, which makes diagnosis and treatment difficult. Neurogenic orthostatic hypotension is often confused with other disorders of orthostatic intolerance, hypovolemic states and systemic conditions. Diagnosis is usually made by an autonomic specialist following characteristic responses to head-up tilt. Symptom control can be achieved through a combination of patient education, nonpharmacologic and pharmacologic therapy. The purpose of this review is to provide the clinician with a practical approach to the diagnosis and management of NOH.
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Berger et al. (2014) conducted a review in Neurogenic orthostatic hypotension. Non-pharmacologic and pharmacologic therapy was evaluated. Symptom control of neurogenic orthostatic hypotension can be achieved through a combination of patient education, non-pharmacologic measures, and pharmacologic therapy.
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