Treatment of Postural Hypotension A Review
作者:
R. A.S. Ahmad,
R. D.S. Watson,
期刊:
Drugs
(ADIS Available online 1990)
卷期:
Volume 39,
issue 1
页码: 74-85
ISSN:0012-6667
年代: 1990
出版商: ADIS
数据来源: ADIS
摘要:
Many drugs have been used in treating patients with postural hypotension but for a large number the evidence of benefit is small and the potential for adverse effects, particularly supine hypertension, is great. Full clinical assessment is essential at the outset to define the nature and extent of pathophysiological disturbance of autonomic function. Many patients can be treated adequately by sleeping with the head of the bed elevated, and the use of fludrocortisone. Patients without evidence of central neurological deficit may benefit from additional treatment with drugs which alter &bgr;-adrenoceptor tone. Patients who respond poorly to these measures should be admitted to hospital, and treatment with desmopressin initiated. Symptomatic postprandial hypotension should be identified early since the response to these measures alone is often poor; caffeine administered before eating, with abstinence for the rest of the day, may be very helpful.
点击下载:
PDF
(5204KB)
返 回