Use of lower abdominal compression to combat orthostatic hypotension in patients with autonomic dysfunction

Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society
A A SmitPhillip A Low

Abstract

The aim of this study was to investigate in patients with neurogenic orthostatic hypotension the mechanism and usefulness of abdominal compression to increase standing blood pressure. In three protocols, 23 patients underwent abdominal compression. Protocol 1 evaluated in a 40-60 degrees head-up-tilt position, the effect of abdominal compression on caval vein and femoral diameter, arterial blood pressure and hemodynamics. Protocol 2 documented the relationship between the level of compression and the arterial pressure response. Protocol 3 investigated the ability to maintain standing blood pressure by an elastic binder. During head-up-tilt, compression (40 mm Hg) resulted in a reduction in diameter of the caval vein (mean -2.6mm, range -1.4 to 0.6), without a change in femoral vein diameter. Stroke volume increased by 14 % (range -1 to 23) and blood pressure (systolic/diastolic) by 30/14 mmHg (range 7/2 to 69/36), both p < 0.05; 40 mmHg compression was associated with a higher pressure response than 20 mmHg (mean 18/8 mmHg, range 6/2 to 43/20 vs. mean 9/4 mmHg, range -1/0 to 18/8, p < 0.05). Elastic abdominal binding increased standing blood pressure with 15/6 mmHg (range -3/3 to 36/14, p < 0.05). We conclude that in patients w...Continue Reading

Associated Clinical Trials

Citations

Aug 13, 2005·Journal of Neurology·Marcin TutajMax J Hilz
Sep 22, 2010·European Journal of Applied Physiology·Helmut Hinghofer-Szalkay
Oct 14, 2004·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Wouter WielingRoy Freeman
Feb 10, 2009·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Chie-Wei FanConal J Cunningham
Aug 12, 2009·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Cristian PodoleanuMichele Brignole
Jun 8, 2011·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·John D Fisher
Jul 9, 2013·Current Hypertension Reports·Amy C Arnold, Cyndya Shibao
Feb 8, 2008·The New England Journal of Medicine·Roy Freeman
Aug 29, 2009·European Heart Journal·UNKNOWN Task Force for the Diagnosis and Management of SyncopeWouter Wieling
Dec 24, 2011·PloS One·Clare Louise ProtheroeVictoria Elizabeth Claydon
May 5, 2010·Cleveland Clinic Journal of Medicine·Juan J FigueroaPhillip A Low
Apr 15, 2014·Vascular Health and Risk Management·Stuart H Isaacson, Julia Skettini
Dec 18, 2013·European Journal of Applied Physiology·Michael B StengerSteven H Platts
Oct 16, 2009·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Roland D ThijsJ Gert van Dijk
Oct 12, 2014·Current Cardiology Reports·Italo Biaggioni
Jun 21, 2015·Expert Review of Cardiovascular Therapy·Horacio KaufmannJose-Alberto Palma
Mar 12, 2013·Progress in Cardiovascular Diseases·Satish R Raj, Samuel T Coffin
Dec 12, 2012·Cardiology Clinics·Victor C Nwazue, Satish R Raj
Nov 6, 2012·Mayo Clinic Proceedings·Eduardo E Benarroch
Oct 12, 2010·Clinics in Geriatric Medicine·Hilary Cronin, Rose Anne Kenny
Feb 27, 2007·International Journal of Cardiology·C S McLachlan, S Z Yow
Sep 13, 2008·Clinical Physiology and Functional Imaging·Mette Helene ToftLene Simonsen
Dec 3, 2014·Archives of Physical Medicine and Rehabilitation·Juan J FigueroaJeffrey R Basford
May 28, 2015·Postgraduate Medicine·Louis KuritzkyEric Dietrich
Oct 9, 2012·Autonomic Neuroscience : Basic & Clinical·David A LowChristopher J Mathias
Apr 1, 2011·Autonomic Neuroscience : Basic & Clinical·Jean-Christophe Philips, André J Scheen
Dec 10, 2014·Practical Neurology·Connie K Wu, Anna D Hohler
Feb 18, 2015·Current Problems in Cardiology·Kathleen WalshMohamed H Hamdan
Dec 3, 2014·Archives of Physical Medicine and Rehabilitation·Patricia Branco MillsAndrei Krassioukov
Apr 16, 2014·Journal of the American Geriatrics Society·James Frith, Julia L Newton
Oct 24, 2017·Journal of Neural Transmission·Sabine EschlböckAlessandra Fanciulli
Jul 19, 2017·Pflügers Archiv : European journal of physiology·Toshio Kitazawa, Kazuyo Kitazawa
Jul 16, 2015·Journal of Clinical Neurology·Phillip A Low, Victoria A Tomalia
Nov 1, 2018·Expert Opinion on Pharmacotherapy·William P Cheshire
Dec 13, 2018·Physiological Reviews·Nandu GoswamiVictor A Convertino
Oct 3, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Zoe K SarafisAndrei V Krassioukov
Jun 9, 2007·Movement Disorders : Official Journal of the Movement Disorder Society·Kerrie L SchofferJohn D O'Sullivan
Mar 7, 2012·Expert Review of Cardiovascular Therapy·Scott L Mader
Dec 25, 2016·Pharmacological Reviews·Italo Biaggioni
Jul 17, 2020·Journal of the American Heart Association·Amanda J Miller, Kate M Bourne
Jul 17, 2020·Journal of the American Heart Association·Emily C SmithLuis E Okamoto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.