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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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Orthostatic hypotension: definition, classification and evaluation

Irma Tzur1,2, Shimon Izhakian1,2, Oleg Gorelik1,2

  • 1a Department of Internal Medicine "F" , Assaf Harofeh Medical Center , Zerifin , Israel.

Blood Pressure
|April 16, 2019
PubMed

Insights

Orthostatic hypotension (OH) assessment lacks standardization. This review clarifies OH definitions and evaluation methods, proposing a standardized bedside protocol for accurate diagnosis and clinical management.

Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Background:

  • Orthostatic hypotension (OH) is a prevalent and significant clinical disorder.
  • Inconsistent definitions and evaluation methodologies for OH are noted in published literature.
  • Clinicians report knowledge gaps in assessing OH.

Purpose of the Study:

  • To provide updated information on the definition, classification, and evaluation of orthostatic hypotension.
  • To address the variability in OH diagnostic criteria and assessment techniques.

Main Methods:

  • Comprehensive literature search of medical databases using keywords: "postural hypotension" or "orthostatic hypotension" combined with "definition", "classification", "diagnosis", "evaluation", or "meaning".
  • Selection of relevant recent publications and key historical papers in English.
  • Review of current data on OH definitions, classification, and evaluation methodologies.

Main Results:

  • Significant discrepancies exist among published guidelines regarding OH diagnostic methodologies.
  • A review of current data on OH definitions, classification, and evaluation is presented.
  • An algorithm for OH evaluation and a standardized bedside determination protocol are proposed.

Conclusions:

  • Accurate assessment of orthostatic hypotension is crucial for correct diagnosis.
  • Standardization of OH evaluation methodology is currently insufficient.
  • Emphasizes the clinical importance of uniform OH investigation aligned with current guidelines.
Abstract

Keywords:
Orthostatic hypotensionclassificationdefinitiondiagnosisevaluation

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