Initial orthostatic hypotension and syncope due to medications in a 60 year old male: Difference between revisions

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(Created page with "''W Wieling*, M.P.M. Harms*, R.A.M. Kortz+ and M. Linzer#''<br /> ''* Department of Medicine, Academic Medical Centre, University of Amsterdam, Amsterdam (The Netherlands); ...")
 
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[[File:Example.jpg | thumb | left | 500px | Fig 1. Continuous blood pressure and heart rate recordings during active standing]]
[[File:InitialOrthostaticHypoSyncope_Fig1.jpg | thumb | right | 500px | Fig 1. Continuous blood pressure and heart rate recordings during active standing]]


The patient received an explanation about the cause of his syncope ''being initial orthostatic intolerance'' related to the use of antidepressants and was advised to arise slowly from supine positions. Changing his medications was problematic due the severity of his psychiatric disorder, and thus orthostatic symptoms including syncope remained a significant problem.   
The patient received an explanation about the cause of his syncope ''being initial orthostatic intolerance'' related to the use of antidepressants and was advised to arise slowly from supine positions. Changing his medications was problematic due the severity of his psychiatric disorder, and thus orthostatic symptoms including syncope remained a significant problem.   
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== References ==
== References ==
<biblio>
<biblio>
#Wieling pmid=15310717
#Wieling This case was published earlier: Wieling W, Harms MPM, Kortz RAM, Linzer M. Initial orthostatic hypotension as a cause of recurrent syncope: a case report. Clin Auton Res 2001; 11: 269-270. We thank Springer Verlag (Darmstadt, Germany) for permitting this reproduction.
#Wieling2 Wieling W, Karemaker JM. Non-invasive continuous recording of heart rate and blood pressure in the evaluation of neurovascular control. In: Bannister R, Mathias CJ, eds. Autonomic failure: a textbook of clinical disorders of the autonomic nervous system. 4th ed. New York: University Press; 1999:197-210.
#Sprangers pmid=2022542
#Wieling3 pmid=1327629
#Smit pmid=11901044
#Coupland pmid=7549420
#Imholz pmid=9747429
#Caine pmid=
<biblio>
<biblio>
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