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Related Concept Videos

Alterations in Blood Pressure01:30

Alterations in Blood Pressure

Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart beats)...
Disorders of the Autonomic Nervous System01:18

Disorders of the Autonomic Nervous System

The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's phenomenon, is a...
Neural Regulation of Blood Pressure01:18

Neural Regulation of Blood Pressure

The neural regulation of blood pressure involves intricate interactions between the autonomic nervous system (ANS) and cardiovascular system, ensuring adequate perfusion of tissues. This regulation primarily occurs through baroreceptor and chemoreceptor reflexes, involving both short-term and long-term mechanisms.
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

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Related Experiment Video

Updated: Jul 7, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
14:09

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

Published on: March 21, 2013

Neurogenic orthostatic hypotension: chasing "the fall".

D Gupta1, M D Nair

  • 1Department of Neurology, Sree Chitra Tirunal Institute for Medical Science and Technology, Trivandrum, Kerala, India. dg14_9@sctimst.ac.in

Postgraduate Medical Journal
|January 31, 2008
PubMed
Summary

Orthostatic hypotension (OH), common in older adults, stems from autonomic failure. Management focuses on improving patient function, not just blood pressure, considering supine hypertension.

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Last Updated: Jul 7, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication

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Area of Science:

  • Neurology
  • Geriatrics
  • Cardiology

Background:

  • Orthostatic hypotension (OH) affects nearly 30% of individuals over 60.
  • It results from neurological or non-neurological issues impairing brain perfusion when upright.
  • Neurogenic OH, a form of autonomic failure, is linked to falls, syncope, and increased mortality.

Purpose of the Study:

  • To review the pathophysiology, etiology, clinical features, and management of neurogenic OH.
  • To differentiate neurogenic OH from non-neurological causes.
  • To emphasize functional restoration over normotension in treatment.

Main Methods:

  • Literature review focusing on neurogenic orthostatic hypotension.
  • Discussion of diagnostic criteria and differential diagnosis.
  • Analysis of current management strategies and considerations.

Main Results:

  • Neurogenic OH is a significant cause of morbidity and mortality in the elderly.
  • Identifying and managing reversible causes is crucial.
  • Treatment should prioritize functional capacity and patient well-being.

Conclusions:

  • Neurogenic OH requires a comprehensive approach, differentiating it from other causes.
  • Management strategies must be individualized, considering factors like supine hypertension.
  • The ultimate goal is to enhance patient's functional ability and quality of life.