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The Pathophysiology and Diagnosis of Orthostatic Hypotension

anciendaze

Senior Member
Messages
1,841
Since many who come here do have problems with dysautonomia, and orthostatic hypotension in particular, I think it is a good idea to review what is already know to specialists. This review paper from 2007 is available through researchgate.

Next problem: how to reach a specialist who understands this without multiple trips through emergency departments.
 

anciendaze

Senior Member
Messages
1,841
@anciendaze I've tried 2 browsers, can't open this doc.
Try this link. You also need to allow researchgate.net and rgstatic if you are running an adblocker. I'm using Firefox with NoScript, and still able to download. I don't think I needed to log in, but it may be that the site recognized a researchgate account.

This author may have messed up the link, I got the entire proceedings.
 

anciendaze

Senior Member
Messages
1,841
As I said the author may have messed up the link on researchgate. The link Sushi posted to Pubmed deals with a different paper from the same conference that came up first by accident. Here's the PubMed link to the review with the title I used above. Another paper in the same proceedings worth reading deals with the prevalence of orthostatic hypotension. This reports that this is far from rare or harmless, there is a measurable increase in mortality in patients with OH, even if you disregard drastic drops in quality of life. You can also find papers relating OH to cardiovascular problems, stroke, syncope, falls, dementia, organ failure, etc.

At this point it should be clear we are not dealing with a minor problem of a bunch of hypochondriacs with little impact on medical expenditures. Too often, the invisible nature of the problem and the low risk of short-term mortality means this is dismissed until secondary damage becomes irreversible. Reversing dementia is close to requiring miracles.

If anyone still has problems downloading, I will pass them a copy myself.