ORTHOSTATIC MEASUREMENTS TAKEN AT HOME MAY HELP CONFIRM nOH

Patients should measure their blood pressure first thing in the morning, as well as throughout the day, especially after meals, taking medication, or physical activity. While conducting measurements, a patient may require assistance from a caregiver in case he or she becomes suddenly symptomatic.1,2 Symptoms of neurogenic orthostatic hypotension (nOH) may increase the risk of falling.3

Consider the following at-home blood pressure measurement schedule
Group 2
REFERENCES
  1. Gibbons CH, Schmidt P, Biaggioni I, et al. The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension. J Neurol. 2017;264(8):1567-1582.
  2. Shibao C, Lipsitz LA, Biaggioni I. Evaluation and treatment of orthostatic hypotension. J Am Soc Hypertens. 2013;7(4):317-324.
  3. Rascol O, Perez-Lloret S, Damier P, et al. Falls in ambulatory non-demented patients with Parkinson's disease. J Neural Transm. 2015;122:1447-1455.
  4. Low PA. Neurogenic orthostatic hypotension: pathophysiology and diagnosis. Am J Manag Care. 2015;21(suppl 13):s248-s257.
  5. Stuebner E, Vichayanrat E, Low DA, et al. Twenty-four hour non-invasive ambulatory blood pressure and heart rate monitoring in Parkinson's disease. Front Neurol. 2013;4:49.