انخفاض ضغط الدم الانتصابي: ماذا نفعل عندما لا يجدي العلاج من الخط الأول

References

DOI: 10.1093/eurheartj/ehy037

• The alpha-agonist midodrine is a useful addition to first-line treatment in patients with chronic autonomic failure.
• Midodrine (2.5–10 mg t.i.d) was shown to be effective in three randomized placebo-controlled trials.
• Midodrine should be considered if symptoms persist.
• There is no doubt that midodrine increases BP both in the supine and upright posture, and ameliorates the symptoms of OH.