Do we need to evaluate diastolic blood pressure in patients with suspected orthostatic hypotension?

• DOI: 10.1007/s10286-017-0409-7
• Publication Date: 2017-02-27T09:59:31Z
• Authors: Artur Fedorowski; Viktor Hamrefors; Richard Sutton; J. Gert van Dijk; Roy Freeman; Jacques WM Lenders; Wouter Wieling
• Keywords: Orthostatic intolerance; Tilt table test

The contribution of diastolic blood pressure measurement to the diagnosis classical orthostatic hypotension is not known. We aimed explore prevalence isolated systolic and components in patients with syncope intolerance. A total 1520 aged >15 years suspected and/or symptoms intolerance were investigated a tertiary center using tilt-table testing continuous non-invasive monitoring. Classical was defined as decline ≥20 mmHg ≥10 at 3 min tilt test. upright <90 its overlap also assessed. One hundred eighty-six (12.2%) met current diagnostic criteria for hypotension. Of these, 176 (94.6%) criterion 102 (54.8%) criterion. Ninety-two (49.5%) both criteria, whereas ten (5.4%) alone. three had during test diagnosed on grounds low standing pressure. Based patient history ancillary results, causes other than present remaining seven patients. An abnormal fall without an rare among Approximately 95% can be identified by