Consensus statement on the definition of orthostatic hypertension endorsed by the American Autonomic Society and the Japanese Society of Hypertension.
Jens JordanItalo BiaggioniVasilios KotsisPeter NilssonGuido GrassiArtur FedorowskiKazuomi KarioPublished in: Clinical autonomic research : official journal of the Clinical Autonomic Research Society (2022)
We propose a consensus definition of "an exaggerated orthostatic pressor response" in subjects in whom systolic blood pressure increases ≥ 20 mmHg when going from supine to standing posture. This definition can be extended for seated to standing measurements. We reserve the term "orthostatic hypertension" for when this pressor response leads to an upright systolic blood pressure ≥ 140 mmHg. We believe this consensus definition will help in the study of the pathophysiology, clinical impact, and potential treatment of these entities, and identification of patients who are at greater cardiovascular risk.
Keyphrases
- blood pressure
- heart rate
- hypertensive patients
- end stage renal disease
- ejection fraction
- heart rate variability
- chronic kidney disease
- newly diagnosed
- clinical practice
- prognostic factors
- heart failure
- blood glucose
- peritoneal dialysis
- patient reported outcomes
- left ventricular
- skeletal muscle
- insulin resistance
- weight loss
- arterial hypertension