ما هو علاج الخط الأول لانخفاض ضغط الدم الانتصابي؟

References

DOI: 10.1093/eurheartj/ehy037

• Explanation of the diagnosis, the provision of reassurance, and explanation of the risk of recurrence and the avoidance of triggers and situations are indicated in all patients.
• Adequate hydration and salt intake are indicated.
• Modification or discontinuation of hypotensive drug regimens should be considered.
• Isometric PCM should be considered.
• Abdominal binders and/or support stockings to reduce venous pooling should be considered.
• Head-up tilt sleeping (>10 degrees) to increase fluid volume should be considered.
• Education regarding the nature of the condition in conjunction with the lifestyle advice outlined in section 5.2.1 can markedly improve orthostatic symptoms, even though the rise in BP is relatively small (10–15 mmHg); raising standing BP to just within the autoregulatory zone can make a substantial functional difference.