Document Detail

Hypotension: a forgotten illness?.
MedLine Citation:
PMID:  10234084     Owner:  NLM     Status:  Publisher    
Low blood pressure is a frequently encountered phenomenon in clinical practice. Few practitioners in the Western world however regard chronic low blood pressure as a genuinely pathological disease state. Evidence is emerging that chronic hypotension is associated with considerable morbidity in the community. It has recently been implicated as the causative mechanism in patients with the chronic fatigue syndrome. Identification of low blood pressure can prove probjlematic, so ambulatory blood pressure monitoring may prove a more reliable method both for determining mean blood pressure levels and for identifying episodes of marked hypotension. Low blood pressure is broadly divided into two categories, chronic constitutional hypotension and hypotension associated with abnormal postural control. The causes are examined and the clinical presentations are discussed. An approach to investigation and diagnosis is outlined, and current options regarding treatment and management are described. The clinical spectrum of low blood pressure is wide. From young patients with vagally mediated syncope or patients with iatrogenic hypotension to elderly patients with autonomic degenerative conditions, there exists a substantial body of patients with potentially avoidable or treatable morbidity. Such a group requires more rigorous scientific investigation and a more sympathetic clinical approach.
Owens; O'Brien
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Publication Detail:
Journal Detail:
Title:  Blood pressure monitoring     Volume:  2     ISSN:  1473-5725     ISO Abbreviation:  Blood Press Monit     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1999-05-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9606438     Medline TA:  Blood Press Monit     Country:  -    
Other Details:
Languages:  ENG     Pagination:  3-14     Citation Subset:  -    
Blood Pressure Unit, Beaumont Hospital, Dublin, Republic of Ireland.
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