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Neurology

Neurogenic orthostatic hypotension often under-recognized by health care providers

Posted on July 27, 2020

Neurogenic orthostatic hypotension (nOH) is often underrecognized by health care providers leading to worse clinical outcomes and diminished quality of life, according to a study.

Neurogenic orthostatic hypotension commonly affects patients with neurodegenerative diseases and is characterized by a sustained fall in blood pressure upon standing causing patients to feel lightheaded, faint, or dizzy.

The nonspecific nature of symptoms and patient comorbidities often lead nOH being under-diagnosed. In addition, patients are often reluctant to discuss their symptoms with health care professionals.

The study authors suggest health care providers have patients track symptoms in a daily journal and confirm a diagnosis by comparing blood pressure measurements while lying down and after standing up.

Reference
Gibson JS, Hunter CB, Hewitt LA. A Call to Action: The Role of Healthcare Providers in Reducing the Burden Associated with Neurogenic Orthostatic Hypotension [published online ahead of print, 2020 Jul 27]. Neurol Ther. 2020;10.1007/s40120-020-00203-6. doi:10.1007/s40120-020-00203-6

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