ASH Position Paper: Evaluation and Treatment of Orthostatic Hypotension
Article first published online: 14 JAN 2013
©2013 Wiley Periodicals, Inc.
The Journal of Clinical Hypertension
Volume 15, Issue 3, pages 147–153, March 2013
How to Cite
J Clin Hypertens (Greenwich). 2013;15:147–153. ©2013 Wiley Periodicals, Inc.
- Issue published online: 4 MAR 2013
- Article first published online: 14 JAN 2013
- Manuscript Accepted: 29 NOV 2012
- Manuscript Received: 27 NOV 2012
This paper provides recommendations on the treatment of orthostatic hypotension (OH) as reviewed by the American Society of Hypertension. It focuses on recent reports on the evaluation and management of OH and provides practical advice for clinicians on how to screen, diagnose, and treat patients using behavioral, nonpharmacologic, and pharmacologic strategies. The authors also provide a stepwise approach on how to apply new findings to successfully control OH and reduce the risk of syncope and falls in these patients. Treatment of OH is also discussed in special situations such as in hypertensive and hospitalized patients. It should be noted, however, that research in this area is mostly limited to studies in small numbers of patients. Unfortunately, the trials of the type needed to develop evidence-based guidelines are not available for this condition.