Key result
Combined supine hypertension and orthostatic hypotension linked to orthostatic PVCs and NSVT.
Why the study?
The authors sought to explore the possible mechanism of orthostatic ventricular tachycardia and review treatment strategies in a patient with autonomic dysfunction presenting with supine hypertension and orthostatic hypotension.
Case Report (n=1)
This case highlights the potential for orthostatic hypotension and supine hypertension to trigger orthostatic ventricular arrhythmias.
Answers are grounded in this paper and cite their sources.
Orthostatic ventricular arrhythmias may complicate supine hypertension with orthostatic hypotension; single case leaves open prevalence and risk.
Supine orthostatic hypertension with orthostatic hypotension is an autonomic dysfunction where the patients present with hypertension when supine and with decrease in blood pressure while bearing an upright posture. We report on a 74-year-old male who was admitted with dizziness and was found to have profound orthostatic hypotension with supine hypertension. The patient also developed orthostatic paroxysmal premature ventricular beats as well as nonsustained ventricular tachycardia. In this report, we attempt to present the possible mechanism of orthostatic ventricular tachycardia in our patient and the overview of the treatment strategies used in management of patients with supine hypertension and orthostatic hypotension.
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Kanjwal et al. (2020) conducted a case report in Supine hypertension and orthostatic hypotension with orthostatic ventricular tachycardia (n=1). A 74-year-old male with supine hypertension and orthostatic hypotension developed orthostatic paroxysmal premature ventricular beats and nonsustained ventricular tachycardia.
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