Orthostatic hypertension: Recognizing an underappreciated clinical condition
Orthostatic hypertension refers to an increase in the blood pressure upon assuming an upright posture. This clinical condition has been understudied and is often underappreciated in clinical practice probably because of its unfamiliarity to many clinicians including subspecialists. We report a case...
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doaj-3ce26ecf9ce9432584b8b5d85027c75c2020-11-24T22:38:03ZengElsevierIndian Heart Journal0019-48322013-07-0165445445610.1016/j.ihj.2013.06.023Orthostatic hypertension: Recognizing an underappreciated clinical conditionLovely Chhabra0David H. Spodick1Department of Internal Medicine, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, MA, USADepartment of Cardiovascular Medicine, Saint Vincent Hospital, University of Massachusetts Medical School, Worcester, MA, USAOrthostatic hypertension refers to an increase in the blood pressure upon assuming an upright posture. This clinical condition has been understudied and is often underappreciated in clinical practice probably because of its unfamiliarity to many clinicians including subspecialists. We report a case of severely symptomatic orthostatic hypertension in a Caucasian female, which was likely secondary to an autonomic dysfunction caused by an underlying vascular adrenergic hypersensitivity and possibly also due to uncontrolled diabetes mellitus (causing baroreflex dysfunction associated with excessive sympathetic stimulation). The case work-up also illustrates a schematic diagnostic and management approach to this rarely encountered clinical entity.http://www.sciencedirect.com/science/article/pii/S0019483213002034DysautonomiaOrthostatic hypertensionDiabetes mellitusAdrenergic hypersensitivity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lovely Chhabra David H. Spodick |
spellingShingle |
Lovely Chhabra David H. Spodick Orthostatic hypertension: Recognizing an underappreciated clinical condition Indian Heart Journal Dysautonomia Orthostatic hypertension Diabetes mellitus Adrenergic hypersensitivity |
author_facet |
Lovely Chhabra David H. Spodick |
author_sort |
Lovely Chhabra |
title |
Orthostatic hypertension: Recognizing an underappreciated clinical condition |
title_short |
Orthostatic hypertension: Recognizing an underappreciated clinical condition |
title_full |
Orthostatic hypertension: Recognizing an underappreciated clinical condition |
title_fullStr |
Orthostatic hypertension: Recognizing an underappreciated clinical condition |
title_full_unstemmed |
Orthostatic hypertension: Recognizing an underappreciated clinical condition |
title_sort |
orthostatic hypertension: recognizing an underappreciated clinical condition |
publisher |
Elsevier |
series |
Indian Heart Journal |
issn |
0019-4832 |
publishDate |
2013-07-01 |
description |
Orthostatic hypertension refers to an increase in the blood pressure upon assuming an upright posture. This clinical condition has been understudied and is often underappreciated in clinical practice probably because of its unfamiliarity to many clinicians including subspecialists. We report a case of severely symptomatic orthostatic hypertension in a Caucasian female, which was likely secondary to an autonomic dysfunction caused by an underlying vascular adrenergic hypersensitivity and possibly also due to uncontrolled diabetes mellitus (causing baroreflex dysfunction associated with excessive sympathetic stimulation). The case work-up also illustrates a schematic diagnostic and management approach to this rarely encountered clinical entity. |
topic |
Dysautonomia Orthostatic hypertension Diabetes mellitus Adrenergic hypersensitivity |
url |
http://www.sciencedirect.com/science/article/pii/S0019483213002034 |
work_keys_str_mv |
AT lovelychhabra orthostatichypertensionrecognizinganunderappreciatedclinicalcondition AT davidhspodick orthostatichypertensionrecognizinganunderappreciatedclinicalcondition |
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1725714868157284352 |