The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension.
Identifieur interne : 000079 ( PubMed/Corpus ); précédent : 000078; suivant : 000080The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension.
Auteurs : Christopher H. Gibbons ; Peter Schmidt ; Italo Biaggioni ; Camille Frazier-Mills ; Roy Freeman ; Stuart Isaacson ; Beverly Karabin ; Louis Kuritzky ; Mark Lew ; Phillip Low ; Ali Mehdirad ; Satish R. Raj ; Steven Vernino ; Horacio KaufmannSource :
- Journal of neurology [ 1432-1459 ] ; 2017.
Abstract
Neurogenic orthostatic hypotension (nOH) is common in patients with neurodegenerative disorders such as Parkinson's disease, multiple system atrophy, pure autonomic failure, dementia with Lewy bodies, and peripheral neuropathies including amyloid or diabetic neuropathy. Due to the frequency of nOH in the aging population, clinicians need to be well informed about its diagnosis and management. To date, studies of nOH have used different outcome measures and various methods of diagnosis, thereby preventing the generation of evidence-based guidelines to direct clinicians towards 'best practices' when treating patients with nOH and associated supine hypertension. To address these issues, the American Autonomic Society and the National Parkinson Foundation initiated a project to develop a statement of recommendations beginning with a consensus panel meeting in Boston on November 7, 2015, with continued communications and contributions to the recommendations through October of 2016. This paper summarizes the panel members' discussions held during the initial meeting along with continued deliberations among the panel members and provides essential recommendations based upon best available evidence as well as expert opinion for the (1) screening, (2) diagnosis, (3) treatment of nOH, and (4) diagnosis and treatment of associated supine hypertension.
DOI: 10.1007/s00415-016-8375-x
PubMed: 28050656
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Gibbons</name><affiliation><nlm:affiliation>Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA. cgibbons@bidmc.harvard.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Schmidt, Peter" sort="Schmidt, Peter" uniqKey="Schmidt P" first="Peter" last="Schmidt">Peter Schmidt</name><affiliation><nlm:affiliation>National Parkinson Foundation, Miami, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Biaggioni, Italo" sort="Biaggioni, Italo" uniqKey="Biaggioni I" first="Italo" last="Biaggioni">Italo Biaggioni</name><affiliation><nlm:affiliation>Vanderbilt University Medical Center, Nashville, TN, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Frazier Mills, Camille" sort="Frazier Mills, Camille" uniqKey="Frazier Mills C" first="Camille" last="Frazier-Mills">Camille Frazier-Mills</name><affiliation><nlm:affiliation>Duke University Hospital and Central Carolina Hospital, Durham, NC, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Freeman, Roy" sort="Freeman, Roy" uniqKey="Freeman R" first="Roy" last="Freeman">Roy Freeman</name><affiliation><nlm:affiliation>Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Isaacson, Stuart" sort="Isaacson, Stuart" uniqKey="Isaacson S" first="Stuart" last="Isaacson">Stuart Isaacson</name><affiliation><nlm:affiliation>Parkinson's Disease and Movement Disorders Center of Boca Raton, Boca Raton, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Karabin, Beverly" sort="Karabin, Beverly" uniqKey="Karabin B" first="Beverly" last="Karabin">Beverly Karabin</name><affiliation><nlm:affiliation>University of Toledo Medical Center, Toledo, OH, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kuritzky, Louis" sort="Kuritzky, Louis" uniqKey="Kuritzky L" first="Louis" last="Kuritzky">Louis Kuritzky</name><affiliation><nlm:affiliation>University of Florida College of Medicine, Gainesville, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lew, Mark" sort="Lew, Mark" uniqKey="Lew M" first="Mark" last="Lew">Mark Lew</name><affiliation><nlm:affiliation>Keck/USC School of Medicine, Los Angeles, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Low, Phillip" sort="Low, Phillip" uniqKey="Low P" first="Phillip" last="Low">Phillip Low</name><affiliation><nlm:affiliation>Mayo Clinic, Rochester, MN, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mehdirad, Ali" sort="Mehdirad, Ali" uniqKey="Mehdirad A" first="Ali" last="Mehdirad">Ali Mehdirad</name><affiliation><nlm:affiliation>Saint Louis University Hospital, St. Louis, MO, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Raj, Satish R" sort="Raj, Satish R" uniqKey="Raj S" first="Satish R" last="Raj">Satish R. Raj</name><affiliation><nlm:affiliation>University of Calgary, Calgary, BC, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Vernino, Steven" sort="Vernino, Steven" uniqKey="Vernino S" first="Steven" last="Vernino">Steven Vernino</name><affiliation><nlm:affiliation>University of Texas Southwestern Medical Center, Dallas, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kaufmann, Horacio" sort="Kaufmann, Horacio" uniqKey="Kaufmann H" first="Horacio" last="Kaufmann">Horacio Kaufmann</name><affiliation><nlm:affiliation>New York University Langone Medical Center, New York, NY, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28050656</idno><idno type="pmid">28050656</idno><idno type="doi">10.1007/s00415-016-8375-x</idno><idno type="wicri:Area/PubMed/Corpus">000079</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000079</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension.</title><author><name sortKey="Gibbons, Christopher H" sort="Gibbons, Christopher H" uniqKey="Gibbons C" first="Christopher H" last="Gibbons">Christopher H. Gibbons</name><affiliation><nlm:affiliation>Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA. cgibbons@bidmc.harvard.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Schmidt, Peter" sort="Schmidt, Peter" uniqKey="Schmidt P" first="Peter" last="Schmidt">Peter Schmidt</name><affiliation><nlm:affiliation>National Parkinson Foundation, Miami, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Biaggioni, Italo" sort="Biaggioni, Italo" uniqKey="Biaggioni I" first="Italo" last="Biaggioni">Italo Biaggioni</name><affiliation><nlm:affiliation>Vanderbilt University Medical Center, Nashville, TN, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Frazier Mills, Camille" sort="Frazier Mills, Camille" uniqKey="Frazier Mills C" first="Camille" last="Frazier-Mills">Camille Frazier-Mills</name><affiliation><nlm:affiliation>Duke University Hospital and Central Carolina Hospital, Durham, NC, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Freeman, Roy" sort="Freeman, Roy" uniqKey="Freeman R" first="Roy" last="Freeman">Roy Freeman</name><affiliation><nlm:affiliation>Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Isaacson, Stuart" sort="Isaacson, Stuart" uniqKey="Isaacson S" first="Stuart" last="Isaacson">Stuart Isaacson</name><affiliation><nlm:affiliation>Parkinson's Disease and Movement Disorders Center of Boca Raton, Boca Raton, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Karabin, Beverly" sort="Karabin, Beverly" uniqKey="Karabin B" first="Beverly" last="Karabin">Beverly Karabin</name><affiliation><nlm:affiliation>University of Toledo Medical Center, Toledo, OH, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kuritzky, Louis" sort="Kuritzky, Louis" uniqKey="Kuritzky L" first="Louis" last="Kuritzky">Louis Kuritzky</name><affiliation><nlm:affiliation>University of Florida College of Medicine, Gainesville, FL, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lew, Mark" sort="Lew, Mark" uniqKey="Lew M" first="Mark" last="Lew">Mark Lew</name><affiliation><nlm:affiliation>Keck/USC School of Medicine, Los Angeles, CA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Low, Phillip" sort="Low, Phillip" uniqKey="Low P" first="Phillip" last="Low">Phillip Low</name><affiliation><nlm:affiliation>Mayo Clinic, Rochester, MN, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mehdirad, Ali" sort="Mehdirad, Ali" uniqKey="Mehdirad A" first="Ali" last="Mehdirad">Ali Mehdirad</name><affiliation><nlm:affiliation>Saint Louis University Hospital, St. Louis, MO, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Raj, Satish R" sort="Raj, Satish R" uniqKey="Raj S" first="Satish R" last="Raj">Satish R. Raj</name><affiliation><nlm:affiliation>University of Calgary, Calgary, BC, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Vernino, Steven" sort="Vernino, Steven" uniqKey="Vernino S" first="Steven" last="Vernino">Steven Vernino</name><affiliation><nlm:affiliation>University of Texas Southwestern Medical Center, Dallas, TX, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kaufmann, Horacio" sort="Kaufmann, Horacio" uniqKey="Kaufmann H" first="Horacio" last="Kaufmann">Horacio Kaufmann</name><affiliation><nlm:affiliation>New York University Langone Medical Center, New York, NY, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of neurology</title><idno type="eISSN">1432-1459</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Neurogenic orthostatic hypotension (nOH) is common in patients with neurodegenerative disorders such as Parkinson's disease, multiple system atrophy, pure autonomic failure, dementia with Lewy bodies, and peripheral neuropathies including amyloid or diabetic neuropathy. Due to the frequency of nOH in the aging population, clinicians need to be well informed about its diagnosis and management. To date, studies of nOH have used different outcome measures and various methods of diagnosis, thereby preventing the generation of evidence-based guidelines to direct clinicians towards 'best practices' when treating patients with nOH and associated supine hypertension. To address these issues, the American Autonomic Society and the National Parkinson Foundation initiated a project to develop a statement of recommendations beginning with a consensus panel meeting in Boston on November 7, 2015, with continued communications and contributions to the recommendations through October of 2016. This paper summarizes the panel members' discussions held during the initial meeting along with continued deliberations among the panel members and provides essential recommendations based upon best available evidence as well as expert opinion for the (1) screening, (2) diagnosis, (3) treatment of nOH, and (4) diagnosis and treatment of associated supine hypertension.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28050656</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>04</Day></DateCreated><DateRevised><Year>2017</Year><Month>01</Month><Day>05</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1459</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jan</Month><Day>03</Day></PubDate></JournalIssue><Title>Journal of neurology</Title><ISOAbbreviation>J. Neurol.</ISOAbbreviation></Journal><ArticleTitle>The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00415-016-8375-x</ELocationID><Abstract><AbstractText>Neurogenic orthostatic hypotension (nOH) is common in patients with neurodegenerative disorders such as Parkinson's disease, multiple system atrophy, pure autonomic failure, dementia with Lewy bodies, and peripheral neuropathies including amyloid or diabetic neuropathy. Due to the frequency of nOH in the aging population, clinicians need to be well informed about its diagnosis and management. To date, studies of nOH have used different outcome measures and various methods of diagnosis, thereby preventing the generation of evidence-based guidelines to direct clinicians towards 'best practices' when treating patients with nOH and associated supine hypertension. To address these issues, the American Autonomic Society and the National Parkinson Foundation initiated a project to develop a statement of recommendations beginning with a consensus panel meeting in Boston on November 7, 2015, with continued communications and contributions to the recommendations through October of 2016. This paper summarizes the panel members' discussions held during the initial meeting along with continued deliberations among the panel members and provides essential recommendations based upon best available evidence as well as expert opinion for the (1) screening, (2) diagnosis, (3) treatment of nOH, and (4) diagnosis and treatment of associated supine hypertension.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gibbons</LastName><ForeName>Christopher H</ForeName><Initials>CH</Initials><AffiliationInfo><Affiliation>Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA. cgibbons@bidmc.harvard.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schmidt</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>National Parkinson Foundation, Miami, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Biaggioni</LastName><ForeName>Italo</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Vanderbilt University Medical Center, Nashville, TN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frazier-Mills</LastName><ForeName>Camille</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Duke University Hospital and Central Carolina Hospital, Durham, NC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freeman</LastName><ForeName>Roy</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Harvard Medical School and Beth Israel Deaconess Medical Center, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Isaacson</LastName><ForeName>Stuart</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Parkinson's Disease and Movement Disorders Center of Boca Raton, Boca Raton, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Karabin</LastName><ForeName>Beverly</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>University of Toledo Medical Center, Toledo, OH, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuritzky</LastName><ForeName>Louis</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>University of Florida College of Medicine, Gainesville, FL, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lew</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Keck/USC School of Medicine, Los Angeles, CA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Low</LastName><ForeName>Phillip</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Mayo Clinic, Rochester, MN, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mehdirad</LastName><ForeName>Ali</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Saint Louis University Hospital, St. Louis, MO, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Raj</LastName><ForeName>Satish R</ForeName><Initials>SR</Initials><AffiliationInfo><Affiliation>University of Calgary, Calgary, BC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vernino</LastName><ForeName>Steven</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>University of Texas Southwestern Medical Center, Dallas, TX, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaufmann</LastName><ForeName>Horacio</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>New York University Langone Medical Center, New York, NY, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016454">Review</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>J Neurol</MedlineTA><NlmUniqueID>0423161</NlmUniqueID><ISSNLinking>0340-5354</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Autonomic dysfunction</Keyword><Keyword MajorTopicYN="N">Droxidopa</Keyword><Keyword MajorTopicYN="N">Fludrocortisone</Keyword><Keyword MajorTopicYN="N">Midodrine</Keyword><Keyword MajorTopicYN="N">Neurogenic orthostatic hypotension</Keyword><Keyword MajorTopicYN="N">Supine hypertension</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>11</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>12</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>12</Month><Day>19</Day></PubMedPubDate><PubMedPubDate 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