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Orthostatic Hypertension

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Orthostatic Hypotension in Older Adults

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Abstract

Orthostatic hypertension is a change in postural blood pressure; its effect and importance are not well-known in older adults. It has been suggested that sympathetic nervous system overexpression and baroreceptor reflex insufficiency might be involved in etiopathogenesis. There are no consensus criteria for the diagnosis of orthostatic hypertension. An increase in systolic blood pressure of 20 mmHg is the most common used criteria when moving from a lying position to a standing position in literature. The frequency of orthostatic hypertension varies according to the diagnostic method and the selected patient group. The clinical significance of orthostatic hypertension remains unclear. However, it has been claimed that there is a cardiovascular risk. It is also thought to be a predictor for cerebrovascular disease. There is no known treatment for orthostatic hypertension; however, non-pharmacological approaches and doxazosin may be effective in treating it. Further studies are needed for the diagnosis and treatment of orthostatic hypertension.

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Author information

Authors and Affiliations

  1. Department of Geriatric Medicine, Tepecik Training and Research Hospital, Izmir, Turkey

    Suleyman Emre Kocyigit

  2. Department of Internal Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey

    Mehmet Selman Ontan

  3. Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey

    Ahmet Turan Isik

Authors
  1. Suleyman Emre Kocyigit
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  2. Mehmet Selman Ontan
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  3. Ahmet Turan Isik
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Editor information

Editors and Affiliations

  1. Department of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey

    Ahmet Turan Isik

  2. Department of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey

    Pinar Soysal

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Kocyigit, S.E., Ontan, M.S., Isik, A.T. (2021). Orthostatic Hypertension. In: Isik, A.T., Soysal, P. (eds) Orthostatic Hypotension in Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-030-62493-4_12

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  • DOI: https://doi.org/10.1007/978-3-030-62493-4_12

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  • Online ISBN: 978-3-030-62493-4

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