Gorelik Oleg, Cohen Natan
Department of Internal Medicine "F", Assaf Harofeh Medical Center (affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel), Zerifin, Israel.
Department of Internal Medicine "F", Assaf Harofeh Medical Center (affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel), Zerifin, Israel.
J Am Soc Hypertens. 2015 Dec;9(12):985-92. doi: 10.1016/j.jash.2015.10.001. Epub 2015 Oct 9.
Most studies of postural hypotension (PH) have focused on standing PH. Less is known about PH after transition from a supine to sitting position. Moreover, seated PH has not been previously reviewed in the English literature. The aim of this review was to provide current information regarding seating-induced PH. Seventeen studies were reviewed regarding prevalence, methods of evaluation, manifestations, predisposing factors, prognosis, and management of seated PH. Prevalence ranged from 8% among community-dwelling persons to 56% in elderly hospitalized patients. Dizziness and palpitations were the most frequent symptoms. Of a variety of factors that have been identified as predisposing and contributing to seated PH, aging, bed rest, and hypertension were most important. Because seated PH is a common, easily diagnosable and frequently symptomatic condition, especially in elderly inpatients, this disorder warrants attention. Moreover, seating-induced falls in blood pressure and the associated symptoms, may be largely prevented by nonpharmacologic interventions.
大多数关于体位性低血压（PH）的研究都集中在站立位PH。对于从仰卧位转变为坐位后的PH了解较少。此外，坐位PH此前尚未在英文文献中得到综述。本综述的目的是提供有关坐位诱发PH的最新信息。我们对17项关于坐位PH的患病率、评估方法、表现、易感因素、预后和管理的研究进行了综述。患病率从社区居民中的8%到老年住院患者中的56%不等。头晕和心悸是最常见的症状。在已被确定为坐位PH的易感和促成因素的各种因素中，衰老、卧床休息和高血压最为重要。由于坐位PH是一种常见、易于诊断且常有症状的疾病，尤其是在老年住院患者中，这种疾病值得关注。此外，通过非药物干预在很大程度上可以预防坐位引起的血压下降及相关症状。
