Violeta
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031868/
Supine hypertension is very common in patients with autonomic failure, limits the use of pressor agents, and can result in end‐organ damage.
Nonpharmacologic therapies and maneuvers are usually effective in relieving symptoms and preventing syncope. If needed, pharmacologic options such as fludrocortisones and midodrine are also available in patients with severe symptoms.
Supine hypertension represents a challenge in the treatment of this condition. Therefore, elevation of the bed of the head and dosing of short‐acting antihypertensive agents at bedtime is often indicated.
Supine hypertension is very common in patients with autonomic failure, limits the use of pressor agents, and can result in end‐organ damage.
Nonpharmacologic therapies and maneuvers are usually effective in relieving symptoms and preventing syncope. If needed, pharmacologic options such as fludrocortisones and midodrine are also available in patients with severe symptoms.
Supine hypertension represents a challenge in the treatment of this condition. Therefore, elevation of the bed of the head and dosing of short‐acting antihypertensive agents at bedtime is often indicated.