انخفاض الضغط الانتصابي: الخطوة التالية عندما لم يحقق ميدودرين أهداف ضغط الدم

References

DOI: 10.1093/eurheartj/ehy037

Fludrocortisone should be considered if symptoms persist.

The evidence in favour of fludrocortisone is from two small observational studies (in combination with head-up sleeping) and one double-blind trial in 60 patients; the observational studies showed haemodynamic benefit and, in the trial, treated patients were less symptomatic with higher BP.