Management of supine hypertension in patients with neurogenic orthostatic hypotension: scientific statement of the American Autonomic Society, European Federation of Autonomic Societies, and the European Society of Hypertension

Journal article


Publication Details

Author(s): Jordan J, Fanciulli A, Tank J, Calandra-Buonaura G, Cheshire WP, Cortelli P, Eschlboeck S, Grassi G, Hilz MJ, Kaufmann H, Lahrmann H, Mancia G, Mayer G, Norcliffe-Kaufmann L, Pavy-Le Traon A, Raj SR, Robertson D, Rocha I, Reuter H, Struhal W, Thijs RD, Tsioufis KP, Gert van Dijk J, Wenning GK, Biaggioni I
Journal: Journal of Hypertension
Publication year: 2019
Volume: 37
Journal issue: 8
Pages range: 1541-1546
ISSN: 0263-6352
eISSN: 1473-5598


Abstract

: Supine hypertension commonly occurs in patients with neurogenic orthostatic hypotension due to autonomic failure. Supine hypertension promotes nocturnal sodium excretion and orthostatic hypotension, thus, interfering with quality of life. Perusal of the literature on essential hypertension and smaller scale investigations in autonomic failure patients also suggest that supine hypertension may predispose to cardiovascular and renal disease. These reasons provide a rationale for treating supine hypertension. Yet, treatment of supine hypertension, be it through nonpharmacological or pharmacological approaches, may exacerbate orthostatic hypotension when patients get up during the night. Fall-related complications may occur. More research is needed to define the magnitude of the deleterious effects of supine hypertension on cardiovascular, cerebrovascular, and renal morbidity and mortality. Integration of more precise cardiovascular risk assessment, efficacy, and safety data, and the prognosis of the underlying condition causing autonomic failure is required for individualized management recommendations.


FAU Authors / FAU Editors

Hilz, Max-Josef Prof. Dr. med.
Professur für Neurologie


External institutions with authors

Centre Hospitalier Universitaire (CHU) de Toulouse
Centro di Fisiologia Clinica e Ipertensione
Deutsches Zentrum für Luft- und Raumfahrt e.V. (DLR)
Karl Landsteiner Privatuniversität für Gesundheitswissenschaften GmbH
Leiden University Medical Center
Mayo Clinic Hospital
Medizinische Universität Innsbruck
National and Kapodistrian University of Athens
New York University (NYU)
Stichting Epilepsie Instellingen Nederland (SEIN)
Universität Köln
University of Bologna / Università di Bologna
University of Calgary
University of Lisbon / Universidade de Lisboa (ULisboa)
University of Milano-Bicocca / Università degli Studi di Milano-Bicocca, UNIMIB
Vanderbilt University


How to cite

APA:
Jordan, J., Fanciulli, A., Tank, J., Calandra-Buonaura, G., Cheshire, W.P., Cortelli, P.,... Biaggioni, I. (2019). Management of supine hypertension in patients with neurogenic orthostatic hypotension: scientific statement of the American Autonomic Society, European Federation of Autonomic Societies, and the European Society of Hypertension. Journal of Hypertension, 37(8), 1541-1546. https://dx.doi.org/10.1097/HJH.0000000000002078

MLA:
Jordan, Jens, et al. "Management of supine hypertension in patients with neurogenic orthostatic hypotension: scientific statement of the American Autonomic Society, European Federation of Autonomic Societies, and the European Society of Hypertension." Journal of Hypertension 37.8 (2019): 1541-1546.

BibTeX: 

Last updated on 2019-29-07 at 16:23