지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 220 - 226 (7page)
이용수
초록· 키워드
오류제보하기
Orthostatic hypotension (OH) occurs when mechanisms for the regulation of orthostatic BP control fails. Such regulation depends on the barorefexes, normal blood volume, and defenses against excessive venous pooling. OH is common in the elderly and is associated with an increase in mortality rate. Tere are many causes of OH. Aging coupled with diseases such as diabetes and Parkinson’s disease results in a prevalence of 10–30% in the elderly. Tese conditions cause barorefex failure with resulting combination of OH, supine hypertension, and loss of diurnal variation of BP. Te treatment of OH is imperfect since it is impossible to normalize standing BP without generating excessive supine hypertension. Te practical goal is to improve standing BP so as to minimize symptoms and to improve standing time in order to be able to undertake orthostatic activities of daily living, without excessive supine hypertension. It is possible to achieve these goals with a combination of fudrocortisone, a pressor agent (midodrine or droxidopa), supplemented with procedures to improve orthostatic defenses during periods of increased orthostatic stress. Such procedures include water bolus treatment and physical countermaneuvers. We provide a pragmatic guide on patient education and the patient-orientated approach to the moment to moment management of OH.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
/ 1996 / Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. The Consensus Committee of the American Autono
Bouvette CM / 1996 / Role of physical countermaneuvers in the management of orthostatic hypotension:efficacy and biofeedback augmentation / Mayo Clin Proc 71 : 847 ~ 853
Denq JC / 1997 / Efficacy of compression of different capacitance beds in the amelioration of orthostatic hypotension / Clin Auton Res 7 : 321 ~ 326
Denq JC / 1998 / Normative data on phases of the Valsalva maneuver / J Clin Neurophysiol 15 : 535 ~ 540
El-Sayed H / 1996 / Salt supplement increases plasma volume and orthostatic tolerance in patients with unexplained syncope / Heart 75 : 134 ~ 140
Bouvette CM / 1996 / Role of physical countermaneuvers in the management of orthostatic hypotension:efficacy and biofeedback augmentation / Mayo Clin Proc 71 : 847 ~ 853
Denq JC / 1997 / Efficacy of compression of different capacitance beds in the amelioration of orthostatic hypotension / Clin Auton Res 7 : 321 ~ 326
Denq JC / 1998 / Normative data on phases of the Valsalva maneuver / J Clin Neurophysiol 15 : 535 ~ 540
El-Sayed H / 1996 / Salt supplement increases plasma volume and orthostatic tolerance in patients with unexplained syncope / Heart 75 : 134 ~ 140
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