BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 体位性轻度头晕、晕厥和其他脑灌注不足症状

其他诊断因素

  • 帕金森症特征
  • 小脑共济失调
  • 体重减轻
  • 静息心动过速或者心率变异受损

危险因素

  • 老年人
  • 衰弱和机体“去适应”
  • 损害交感神经张力的药物
  • 血容量不足

诊断性检查

需要考虑的检查

  • 倾斜试验
  • 去甲肾上腺素
  • 深呼吸
  • 咽鼓管捏鼻鼓气法
全部具体信息

治疗流程

急性

贡献者

Professor of Medicine and Pharmacology

Vanderbilt University

Nashville

TN

利益冲突披露
IB has consulted for Lundbeck Pharmaceuticals for the development of droxidopa and Theravance for the development of drugs for the treatment of orthostatic hypotension. IB is listed as inventor in a patent application for the use of an automated abdominal binder in the treatment of orthostatic hypotension. IB is an author of references cited in this monograph.

Assistant Professor

Dysautonomia Center

Department of Physiology and Neuroscience

NYU Langone Medical Center

New York

NY

利益冲突披露
LNK receives research support from the National Institutes for Health (U54NS065736), the Dysautonomia Foundation, Inc., and the MSA Coalition.

Professor of Neurology

Medicine and Pediatrics

New York University School of Medicine

New York

NY

利益冲突披露
HK receives research support from the National Institutes of Health (U54NS065736 and 1U01NS078025-01) and the Dysautonomia Foundation, Inc. HK has also served as Editor in Chief for Clinical Autonomic Research and has received compensation as a consultant/advisory board member for Lundbeck, Eli Lilly, Pfizer, and Astra Zeneca.

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Robert D. and Patricia E. Kern Professor of Neurology

Mayo Clinic College of Medicine

Rochester

MN

利益冲突披露
PAL is an author of a reference cited in this monograph.

Professor of Neurology

Mayo Clinic

Jacksonville

FL

利益冲突披露
WPC declares that he has no competing interests.

Consultant Geriatrician

Beaumont Hospital

Dublin

Ireland

利益冲突披露
AM has received payment from Shire Pharmaceuticals, manufacturer of midodrine, for providing educational talks, and the department in which he works has received unrestricted educational grants from Shire Pharmaceuticals.

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