Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Clinical Autonomic Research
Published in: Clinical Autonomic Research 4/2014

01-08-2014 | Short Communication

Is ambulatory blood pressure monitoring useful in patients with chronic autonomic failure?

Authors: Lucy Norcliffe-Kaufmann, Horacio Kaufmann

Published in: Clinical Autonomic Research | Issue 4/2014

Login to get access

Abstract

Management of blood pressure (BP) abnormalities in patients with autonomic failure is usually based on office BP readings. It is uncertain, whether office readings reflect actual BPs during a typical day. Therefore, in 45 patients with autonomic failure, we compared office BP values during a tilt test with those captured on a 24-h ambulatory monitor. Office BP values while supine predicted well the level of nighttime hypertension. However, in only 33 % of patients, office values during tilt test accurately reflected hypotension during a typical day. Therefore, ambulatory monitoring is useful to gauge the true severity of hypotension in patients with autonomic failure.
Literature
1.
Vagaonescu TD, Saadia D, Tuhrim S, Phillips RA, Kaufmann H (2000) Hypertensive cardiovascular damage in patients with primary autonomic failure. Lancet 355(9205):725–726PubMedCrossRef
2.
3.
Norcliffe-Kaufmann L, Axelrod FB, Kaufmann H (2011) Developmental abnormalities, blood pressure variability and renal disease in Riley Day syndrome. J Hum Hypertens 27(1):51–55PubMedCentralPubMedCrossRef
4.
Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I et al (2011) Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res 21(2):69–72PubMedCrossRef
5.
Chobanian AV, Volicer L, Tifft CP, Gavras H, Liang CS, Faxon D (1979) Mineralocorticoid-induced hypertension in patients with orthostatic hypotension. N Engl J Med 301(2):68–73PubMedCrossRef
6.
Ejaz AA, Kazory A, Heinig ME (2007) 24-hour blood pressure monitoring in the evaluation of supine hypertension and orthostatic hypotension. J Clin Hypertens (Greenwich) 9(12):952–955CrossRef
Metadata
Title
Is ambulatory blood pressure monitoring useful in patients with chronic autonomic failure?
Authors
Lucy Norcliffe-Kaufmann
Horacio Kaufmann
Publication date
01-08-2014
Publisher
Springer Berlin Heidelberg
Published in
Clinical Autonomic Research / Issue 4/2014
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-014-0229-y

Other articles of this Issue 4/2014

Clinical Autonomic Research 4/2014 Go to the issue

Research Article

Autonomic testing of women with interstitial cystitis/bladder pain syndrome

Research Article

Autonomic dysfunction responses to head-up tilt in anorexia nervosa

Short Communication

Beta2-adrenoceptor stimulation has no effect on skeletal muscle glucose uptake

Case Report

Arrhythmic syncope in neurogenic orthostatic hypotension: two case reports

Research Article

The effect of oxybutynin on cardiac autonomic modulation in healthy subjects

Erratum

Erratum to: Is ambulatory blood pressure monitoring useful in patients with chronic autonomic failure?