Orthostatic Hypotension in Human Immunodeficiency Virus Infection May Be the Result of Generalized Autonomic Nervous System Dysfunction
作者:
Jeffrey Cohen,
Laurel Miller,
Lou Polish,
期刊:
Journal of Acquired Immune Deficiency Syndromes
(OVID Available online 1991)
卷期:
Volume 4,
issue 1
页码: 31-33
ISSN:0894-9255
年代: 1991
出版商: OVID
关键词: Orthostatic hypotension;Human immunodeficiency virus;Autonomic nervous system;Sympathetic nervous system;Parasympathetic nervous system
数据来源: OVID
摘要:
SummaryWe used an autonomic nervous system (ANS) testing battery to determine if generalized ANS dysfunction was present in five human immunodeficiency virus-positive (HIV +) patients presenting with severe orthostatic hypotension (OH). All five patients had abnormal ANS testing, which demonstrated both sympathetic and parasympathetic defects, i.e., generalized ANS dysfunction. Treatment with fludrocortisone effectively reversed the OH in four of the five patients. The OH was transient in these four patients. We believe it is important to recognize that OH may be the result of generalized ANS dysfunction in HIV-positive patients and that it can be effectively treated.
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