La hipotensión ortostática, esa gran desconocida
- S.M. Velilla-Zancada 1
- M.A. Prieto-Díaz 2
- C. Escobar-Cervantes 3
- L. Manzano-Espinosa 4
- 1 Centro de Salud Espartero, Logroño, La Rioja, España
- 2 Centro de Salud Vallobín-La Florida, Oviedo, Asturias, España
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3
Instituto de Investigación Sanitaria del Hospital Universitario La Paz
info
Instituto de Investigación Sanitaria del Hospital Universitario La Paz
Madrid, España
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4
Hospital Ramón y Cajal
info
ISSN: 1138-3593
Año de publicación: 2017
Número: 7
Páginas: 501-510
Tipo: Artículo
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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