Document Detail

Orthostatic blood pressure control in Marfan's syndrome.
MedLine Citation:
PMID:  15670963     Owner:  NLM     Status:  MEDLINE    
A 33-year old male patient, with Marfan's syndrome, reported symptoms of orthostatic intolerance and fatigue as a longstanding problem. Orthostatic cardiovascular examination showed poor orthostatic tolerance, with a rise in heart rate and a fall in arterial blood pressure and cerebral blood flow velocity. Self-discovered physical counterpressure manoeuvers improved symptoms, related to a substantial increase in arterial pressure and cerebral perfusion. When orthostatic complaint are reported by patients with Marfan's syndrome, physical counterpressure manoeuvers should be advised to reduce symptoms of postural hypotension.
Nynke van Dijk; Rogier V Immink; Barbara J M Mulder; Johannes J van Lieshout; Wouter Wieling
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  7     ISSN:  1099-5129     ISO Abbreviation:  Europace     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-26     Completed Date:  2005-06-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  25-7     Citation Subset:  IM    
Department of Internal Medicine F4-222, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
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MeSH Terms
Blood Flow Velocity / physiology
Cerebrovascular Circulation / physiology
Heart Rate / physiology
Hypotension, Orthostatic / etiology,  physiopathology*,  prevention & control*
Marfan Syndrome / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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