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首页> 外文期刊>Journal of neurology >The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension
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The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension

机译：筛查，诊断和治疗神经源性直向性低血压和相关仰卧血管性高血压的共识小组的建议

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摘要

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.
机译：神经源性原位的低血压（NOH）是帕金森病，多种系统萎缩，纯粹的自主失败，痴呆症，具有糖尿病或糖尿病神经病变的外周神经病的患者常见的患者。由于老化人群中缺口的频率，临床医生需要充分了解其诊断和管理。迄今为止，迄今为止，NOH的研究采用了不同的结果措施和各种诊断方法，从而防止生成基于证据的准则，直接将临床医生指向“最佳实践”，治疗患有NOH和相关的仰卧性高血压患者。为了解决这些问题，美国自主社会和国家帕金森基金会启动了一个项目，从2015年11月7日开始在波士顿的共识小组会议开始开发建议的陈述，并通过2016年10月持续沟通和捐款。本文总结了在初次会议期间举行的小组成员讨论以及小组成员之间的持续审议，并根据最佳可用证据以及（1）筛选，（2）诊断，（2）诊断，提供基本建议NOH的治疗和（4）诊断和治疗相关的仰卧。

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