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Neurogenic orthostatic hypotension with Parkinson's disease as a cause of syncope:A case report 被引量:1

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摘要 BACKGROUND Syncope presents with diagnostic challenges and is associated with high healthcare costs.Neurogenic orthostatic hypotension(nOH)as one cause of syncope is not well established.We review a case of syncope caused by nOH in a patient with Parkinson's disease.CASE SUMMARY We describe a case of syncope caused by nOH in Parkinson's disease and review the literature.A 70-year-old man with Parkinson's disease had uncontrolled blood pressure for 1 mo,with blood pressure ranging from 70/40 to 220/112 mmHg,and once lost consciousness lasting for several minutes after getting up.Ambulatory blood pressure monitoring indicated nocturnal hypertension(up to 217/110 mmHg)and morning orthostatic hypotension(as low as 73/45 mmHg).Seated-to-standing blood pressure measurement showed that the blood pressure dropped from 173/96 mmHg to 95/68 mmHg after standing for 3 min from supine position.A diagnosis of nOH with supine hypertension was made.During the course of treatment,Midodrine could not improve the symptoms.Finally,the patient's blood pressure stabilized with simple strategies by strengthening exercises,reducing the duration of lying in bed in the daytime,and consuming water intake before getting up.CONCLUSION nOH is one of the causes of syncope.Ambulatory blood pressure monitoring is a cost-effective method for its diagnosis,and non-pharmacological measures are still the primary management methods.
出处 《World Journal of Clinical Cases》 SCIE 2021年第21期6073-6080,共8页 世界临床病例杂志
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  • 1崔诗爽,张冬燕,陈先文,王含,陈伟,承欧梅,窦荣花,黄清,马莎,沈岳飞,商慧芳,王华龙,许顺良,王训,潘小玲,吴琴咪,王玉凯,陈海波,陈生弟,李燕,王刚.帕金森病血压管理专家共识(第二版)[J].中华高血压杂志,2023,31(9):809-820.

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