La hipotensión ortostática, esa gran desconocida

  1. S.M. Velilla-Zancada 1
  2. M.A. Prieto-Díaz 2
  3. C. Escobar-Cervantes 3
  4. L. Manzano-Espinosa 4
  1. 1 Centro de Salud Espartero, Logroño, La Rioja, España
  2. 2 Centro de Salud Vallobín-La Florida, Oviedo, Asturias, España
  3. 3 Hospital La Paz, Madrid, España
  4. 4 Hospital Ramón y Cajal, Madrid, España
Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Año de publicación: 2017

Número: 7

Páginas: 501-510

Tipo: Artículo

DOI: 10.1016/J.SEMERG.2016.09.006 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Semergen: revista española de medicina de familia

Resumen

La hipotensión ortostática es una alteración de creciente interés en las investigaciones científicas. Determinadas enfermedades neurológicas se asocian con este fenómeno; sin embargo, también puede ser de causa no neurológica. A pesar de que la hipotensión ortostática se define por consenso como la disminución de la presión arterial sistólica en al menos 20mmHg, o la disminución de la presión arterial diastólica en al menos 10mmHg, a lo largo de los 3 primeros minutos en bipedestación, en los diferentes estudios varía la manera de diagnosticarla. Se ha afirmado que se asocia con determinados factores de riesgo cardiovascular y con el tratamiento farmacológico, pero los resultados son contradictorios. En la presente revisión se pretende actualizar los conocimientos disponibles sobre la hipotensión ortostática, su tratamiento, así como proponer un método que sirva de base para estandarizar su valoración.

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