Evidence map›Paper›PMID 30724451›Full record

SynthesisJournal of clinical hypertension (Greenwich, Conn.)2019

Orthostatic hypertension: From pathophysiology to clinical applications and therapeutic considerations.

Nikolaos Magkas, Costas Tsioufis, Costas Thomopoulos, Polychronis Dilaveris, Georgios Georgiopoulos, Michael Doumas, Dimitris Papadopoulos, Dimitrios Tousoulis

Abstract readComparative StudySystematic Review
In one paragraph

Synthesis in Journal of clinical hypertension (Greenwich, Conn.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Exaggerated blood pressure response to standing in young-to-middle-age subjects: prevalence and factors involved.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
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  15. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nikolaos MagkasFirst Department of Cardiology, 'Hippokration' Hospital, University of Athens, Medical School, Athens, Greece.ORCID 0000-0003-1645-9716
Costas TsioufisFirst Department of Cardiology, 'Hippokration' Hospital, University of Athens, Medical School, Athens, Greece.
Costas ThomopoulosDepartment of Cardiology, Helena Venizelou Hospital, Athens, Greece.ORCID 0000-0002-8491-6029
Polychronis DilaverisFirst Department of Cardiology, 'Hippokration' Hospital, University of Athens, Medical School, Athens, Greece.
Georgios GeorgiopoulosFirst Department of Cardiology, 'Hippokration' Hospital, University of Athens, Medical School, Athens, Greece.ORCID 0000-0001-7661-5253
Michael Doumas2nd Propedeutic Department of Internal Medicine, Aristotle University, Thessaloniki, Greece.ORCID 0000-0002-7269-8044
Dimitris PapadopoulosHypertension Excellence Centre-ESH, Department of Cardiology, LAIKO General Hospital, Athens, Greece.
Dimitrios TousoulisFirst Department of Cardiology, 'Hippokration' Hospital, University of Athens, Medical School, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthostatic hypertension (OHT), that is, sustained increase in blood pressure after standing, is an increasingly recognized cardiovascular disorder having been examined in much fewer studies compared with orthostatic hypotension (OH). However, in both OHT and OH, dysfunction of the autonomous nervous system is considered to be the primary pathophysiological disturbance, while significant associations with essential hypertension have been observed. Although in many studies OHT has been related to subclinical or clinical target organ damage, there is also evidence denying such an association. Because OHT is defined variably across different studies, the comparison of relevant outcomes is at least problematic. Since evidence about OHT treatment is exclusively based on limited non-randomized studies, no specific recommendations have been developed. Therefore, both the prognostic role and the clinical significance of OHT remain largely undefined. The aim of the present review is to summarize the available evidence regarding the definition, diagnosis, pathophysiology, prognostic role and treatment of OHT and highlight potential clinical implications of this underestimated condition.

Indexed as

Autonomic Nervous System DiseasesBlood PressureBlood Pressure Monitoring, AmbulatoryCardiovascular DiseasesDizzinessHumansHypertensionHypotension, OrthostaticNon-Randomized Controlled Trials as TopicPrognosisTilt-Table Testautonomic nervous systemcardiovascular outcomesorthostatic hypertensionorthostatic hypotensiontarget organ damage

Identifiers

PMID30724451
PMCPMC8030346

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.