Lower Limb and Abdominal Compression Bandages Prevent Progressive Orthostatic Hypotension in Elderly Persons

Podoleanu, Cristian; Maggi, Roberto; Brignole, Michele; Croci, Francesco; Incze, Alexander; Solano, Alberto; Puggioni, Enrico; Caraşca, E

doi:10.1016/j.jacc.2006.06.052

Cited by 146 publications

(107 citation statements)

References 27 publications

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“…305,[307][308][309][310][311][312] There is no evidence that syncope in patients with short-QT pattern is a risk factor for cardiac arrest in the absence of documented VT or VF. Therefore, ICD implantation may be limited to patients with suspected arrhythmic syncope, particularly in the presence of a family history of SCD.…”

Section: Short-qt Syndrome: Recommendationmentioning

confidence: 99%

See 1 more Smart Citation

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Sheldon²,

et al. 2017

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Section: Short-qt Syndrome: Recommendationmentioning

confidence: 99%

“…[451][452][453][454][455][456] The garments should be at least thigh high and preferably include the abdomen, as shorter garments have not been proved to be beneficial.…”

Section: -455mentioning

confidence: 99%

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Sheldon²,

et al. 2017

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“…Other factors recorded were: hypertension (defined as resting blood pressure above 140/90 mm Hg or pre-existing diagnosis of hypertension and antihypertensive treatment), history of diabetes, history of stroke, current smoking, intake of oral contraceptives, history of syncope, and specific symptom score for orthostatic intolerance (SSS-OI; minimum, 0 points [asymptomatic]; maximum, 70 points). 8 Presence of focal neurological deficits was assessed by standard clinical examination.…”

Section: Clinical Datamentioning

confidence: 99%

Cerebellar and Cerebral Autoregulation in Migraine

Reinhard

Schork

Allignol

et al. 2012

Stroke

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Background and Purpose-Silent ischemic brain lesions frequently occur in migraine with aura and are most often located in cerebellar border zones. This may imply an impairment of cerebellar blood flow autoregulation. This study investigated the characteristics of interictal cerebellar autoregulation in migraine with and without aura. Methods-Thirty-four patients (nϭ17, migraine without aura; nϭ17, migraine with aura) and 35 age-and sex-matched controls were studied. Triple simultaneous transcranial Doppler monitoring of one posterior inferior cerebellar artery, right posterior cerebral artery, and left middle cerebral artery was performed. Autoregulation dynamics were assessed from spontaneous blood pressure fluctuations (correlation coefficient index Dx) and from respiratory-induced 0.1-Hz blood pressure oscillations (phase and gain). Results-Compared with controls, the autoregulatory index Dx was higher (indicating less autoregulation) in the posterior inferior cerebellar artery (Pϭ0.0062) and middle cerebral artery (Pϭ0.0078) in migraine with aura, but not in migraine without aura. Phase and gain did not significantly differ between migraine patients and controls. No significant associations of autoregulation with clinical factors were found, including frequency of migraine attacks and orthostatic intolerance. Conclusions-This

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“…20 In older patients, abdominal binders and/or support stockings to reduce venous pooling may be indicated (Class IIb, Level C). 21,22 Midodrine should be administered as adjunctive therapy if needed (Class IIa, Level B), such as Fludrocortisone (Class IIa, Level C).…”

Section: Orthostatic Hypotensionmentioning

confidence: 99%

Management of syncope: from evidence to clinical practice

Attardo¹,

Ambrosino

Magnani

et al. 2016

Ital J Med

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Syncope is defined as a transient loss of consciousness due to temporary global cerebral hypoperfusion. It is characterized by rapid onset, short duration, loss of postural tone possibly causing patient fall, and spontaneous full recovery. Syncope has a high prevalence and incidence within the general population with a relevant impact on both quality of life and health care costs. The diagnosis of syncope is often inaccurate and subject to delay, and management is greatly variable. The main objective of this monograph is to discuss a methodological diagnostic approach to signs and symptoms suggestive of syncope, aiming for a management optimization. The present work is based on a systematic review of recent international guidelines.

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Lower Limb and Abdominal Compression Bandages Prevent Progressive Orthostatic Hypotension in Elderly Persons

Abstract: Lower limb compression bandage is effective in avoiding orthostatic systolic blood pressure decrease and in reducing symptoms in elderly patients affected by progressive orthostatic hypotension.

Cited by 146 publications

References 27 publications

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society

Cerebellar and Cerebral Autoregulation in Migraine

Management of syncope: from evidence to clinical practice

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