SOME PATIENTS MAY NEED TO MONITOR ORTHOSTATICS THROUGHOUT THE DAY TO HELP CONFIRM NEUROGENIC ORTHOSTATIC HYPOTENSION (nOH)

A physician may choose to have a patient record at-home orthostatic blood pressure measurements. 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.1-4

 

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. Low PA. Neurogenic orthostatic hypotension: pathophysiology and diagnosis. Am J Manag Care. 2015;21(suppl 13):s248-s257. 3. 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. 4. Shibao C, Lipsitz LA, Biaggioni I. Evaluation and treatment of orthostatic hypotension. J Am Soc Hypertens. 2013;7(4):317-324.