Tzur Irma, Izhakian Shimon, Gorelik Oleg
a Department of Internal Medicine "F" , Assaf Harofeh Medical Center , Zerifin , Israel.
b Sackler Faculty of Medicine , Tel Aviv University , Ramat Aviv , Israel.
Blood Press. 2019 Jun;28(3):146-156. doi: 10.1080/08037051.2019.1604067. Epub 2019 Apr 15.
Orthostatic hypotension (OH) is a common and clinically important disorder. Published papers vary regarding the definitions of OH and methodologies of evaluation. Moreover, substantial gaps in the skills and knowledge required for assessment of OH have been reported by clinicians. We aimed to provide current information regarding the definition, classification and evaluation of OH.
We performed a comprehensive search of medical databases, using the following keywords: "postural hypotension" or "orthostatic hypotension", combined with: "definition", "classification", "diagnosis", "evaluation" or "meaning". We selected for this review the most relevant recent publications and key papers in the field, published in the English language.
Current data regarding definitions, classification and the evaluation of OH are reviewed. The various aspects of OH assessment are extensively discussed. Considerable discrepancies exist between the published guidelines regarding the methodology of OH diagnosing. We propose an algorithm for OH evaluation and a standardized protocol for bedside determination of OH by healthcare providers.
Correct assessment of OH is essential for its accurate diagnosis. The methodology of OH evaluation has not been sufficiently standardized. We emphasize the clinical importance of the uniform investigation of OH, according to the current guidelines for OH definition and meaning.
直立性低血压（OH）是一种常见且具有临床重要性的疾病。已发表的论文在OH的定义和评估方法方面存在差异。此外，临床医生报告称，在评估OH所需的技能和知识方面存在很大差距。我们旨在提供有关OH的定义、分类和评估的最新信息。
我们使用以下关键词对医学数据库进行了全面搜索：“体位性低血压”或“直立性低血压”，并与“定义”、“分类”、“诊断”、“评估”或“含义”相结合。我们为本次综述选择了该领域最近发表的最相关的英文出版物和关键论文。
对有关OH的定义、分类和评估的当前数据进行了综述。广泛讨论了OH评估的各个方面。已发表的指南在OH诊断方法方面存在相当大的差异。我们提出了一种OH评估算法以及医疗保健提供者在床边确定OH的标准化方案。
正确评估OH对其准确诊断至关重要。OH评估方法尚未得到充分标准化。我们强调根据当前OH定义和含义的指南对OH进行统一调查的临床重要性。
