January 1, 1991Japanese Journal of Medicine

A Case of Neurogenic Orthostatic Hypertension.

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Population

1 75-year-old woman with orthostatic hypertension presenting with sudden onset of dizziness upon changes in…

Design

Case_report

Authors

KAKuniharu ArakiKyoto Prefectural University of Medicine YUYoshihiro UedaUniversity of Tokyo Hospital IKIchiyo KonoYamashina Institute for Ornithology

Discussion

Member takes

Implication

Suggests neurogenic orthostatic hypertension in rare cases; hypothesis-generating and should not yet change practice.

Structured PICO

Population

1 75-year-old woman with orthostatic hypertension presenting with sudden onset of dizziness upon changes in posture.

Intervention

Autonomic nervous function and endocrine testing (including Schellong test, head-up tilt test, cold pressor test, and pharmacological cardiovascular autonomic nervous function tests).

Outcome

Blood pressure response and autonomic nervous function test results.surrogate

This case report demonstrates that orthostatic hypertension can be of neurogenic origin due to sympathetic denervation hypersensitivity.

Cite This Study

Araki et al. (1991) studied this question.

synapsesocial.com/papers/6a6fc203febe604dd7089bf1 https://doi.org/10.2169/internalmedicine1962.30.446

Topics

Hypertension management

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