Consensus Statement on the Definition of Orthostatic Hypertension Endorsed by the American Autonomic Society and the Japanese Society of Hypertension

Overview

Journal Clin Auton Res

Date 2022 Sep 29

PMID 36173501

Authors

Jens Jordan

Italo Biaggioni

Vasilios Kotsis

Peter Nilsson

Guido Grassi

Artur Fedorowski

Kazuomi Kario

Affiliations

Soon will be listed here.

Abstract

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.

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