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What is the relationship between supine hypertension and orthostatic hypotension?

What are the signs and symptoms of hyperosmolar hypotension (SH)?

  • Patients with SH/OH may be asymptomatic, but symptoms of orthostatic intolerance such as “dizziness, lightheadedness, and/or loss or near-loss of consciousness” may be present. 6 Patients with SH/OH exhibited lower cognitive performance than those patients with SH without OH.

How can ohoh and postprandial hypotension be prevented?

  • OH and postprandial hypotension can be prevented with abdominal binders and acarbose, respectively, without the need to increase baseline blood pressure.

What are the treatment guidelines for essential hypertension associated with hypotension?

  • There are no accepted guidelines for the treatment of essential hypertension associated with sustained hypotensive reactions. Generally, hypertensive patients with no pre‐treatment OH are at low risk of developing OH with use of antihypertensive drugs. Antihypertensive drugs typically only exacerbate pre‐existing OH.

image-What is the relationship between supine hypertension and orthostatic hypotension?
image-What is the relationship between supine hypertension and orthostatic hypotension?
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