Neglected cause of recurrent syncope: a case report of neurogenic orthostatic hypotension.

ABSTRACT: Syncope commonly results in emergency room and physician visits, leading to hospitalization and invasive investigations. Up to 24% of these presentations may be caused by neurogenic orthostatic hypotension (nOH), which continues to be an under-recognized clinical entity. We review an approach to diagnosing nOH. An 85-year-old man with a history of Parkinson's disease was referred for a history of recurrent syncope, which had resulted in extensive cardiac investigation. Collateral history revealed that the events were orthostatic in nature, but with variable time to onset of symptoms. The patient was found to have significant postural drop in blood pressure without compensatory tachycardia. Cardiovascular autonomic function testing was performed, which confirmed significant autonomic nervou

SUBMITTER: Miller RJH 

PROVIDER: S-EPMC6601146 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature