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Volume 358:2298 May 22, 2008 Number 21
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Neurogenic Orthostatic Hypotension

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 by Freeman, R.
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To the Editor: In his Clinical Practice article on neurogenic orthostatic hypotension, Freeman (Feb. 7 issue)1 notes that the definition of orthostatic hypotension encompasses a drop in blood pressure during the first 3 minutes of standing. He states that when evaluating a patient, however, the blood pressure should be measured with the patient in the supine position and at least 3 minutes after the patient stands up. These two statements appear to contradict each other.


Mark Joy, M.D.
Veterans Affairs New York Harbor Healthcare System
Brooklyn, NY 11209
mark.joy@va.gov

  1. Freeman R. Neurogenic orthostatic hypotension. N Engl J Med 2008;358:615-624. [Free Full Text]

 
The author replies: Orthostatic hypotension is defined by a consensus of . . . [Full Text of this Article]




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