Evidence map›Paper›PMID 30883381›Full record

GuidelineJournal of vestibular research : equilibrium & orientation

Hemodynamic orthostatic dizziness/vertigo: Diagnostic criteria.

Hyun Ah Kim, Alexandre Bisdorff, Adolfo M Bronstein, Thomas Lempert, Marcos Rossi-Izquierdo, Jeffrey P Staab, Michael Strupp, Ji-Soo Kim

Open access · bronzeAbstract readPractice GuidelineReview
In one paragraph

Guideline in Journal of vestibular research : equilibrium & orientation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% of its field
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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. [The SCD diagnostic strategy, procedure and pathway for episodic vestibular syndrome].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Review
  8. Vestibulo-sympathetic interaction and otolith function in postural orthostatic tachycardia syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  9. Article
  10. Article
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  12. Sex differences in dizziness diagnoses across acute and chronic neurological settings.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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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 at 8 institutions in 8 countries.

Hyun Ah KimDepartment of Neurology, Keimyung University Dongsan Hospital, Daegu, South Korea.
Alexandre BisdorffDepartment of Neurology, Centre Hospitalier Emile Mayrisch, Esch-sur-Alzette, Luxembourg.
Adolfo M BronsteinDepartment of Neuro-otology, Division of Brain Sciences, Imperial College London, Charing Cross Hospital Campus, London, UK.
Thomas LempertDepartment of Neurology, Schlosspark-Klinik, Berlin, Germany.
Marcos Rossi-IzquierdoDepartment of Otolaryngology, University Hospital Lucus Augusti, Lugo, Spain.
Jeffrey P StaabDepartments of Psychiatry and Psychology and Otorhinolaryngology - Head and Neck Surgery, Mayo Clinic, Rochester, MN, USA.
Michael StruppDepartment of Neurology and German Center for Vertigo and Balance Disorders, Ludwig Maximilians University, Munich, Germany.
Ji-Soo KimDepartment of Neurology, Seoul National University College of Medicine, Dizziness Center, Seoul National University Bundang Hospital, Seongnam, South Korea.
Centre Hospitalier de Luxembourg · LUCharing Cross Hospital · GBGerman Center for Lung Research · DEHospital Universitario Lucus Augusti · ESKeimyung University · KRMayo Clinic · USSchlosspark-Klinik · DESeoul National University · KR

Funding

Medical Research Council MR/J004685/1
6 · The paper itself

Abstract

This paper presents the diagnostic criteria for hemodynamic orthostatic dizziness/vertigo to be included in the International Classification of Vestibular Disorders (ICVD). The aim of defining diagnostic criteria of hemodynamic orthostatic dizziness/vertigo is to help clinicians to understand the terminology related to orthostatic dizziness/vertigo and to distinguish orthostatic dizziness/vertigo due to global brain hypoperfusion from that caused by other etiologies. Diagnosis of hemodynamic orthostatic dizziness/vertigo requires: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) orthostatic hypotension, postural tachycardia syndrome or syncope documented on standing or during head-up tilt test; and C) not better accounted for by another disease or disorder. Probable hemodynamic orthostatic dizziness/vertigo is defined as follows: A) five or more episodes of dizziness, unsteadiness or vertigo triggered by arising or present during upright position, which subsides by sitting or lying down; B) at least one of the following accompanying symptoms: generalized weakness/tiredness, difficulty in thinking/concentrating, blurred vision, and tachycardia/palpitations; and C) not better accounted for by another disease or disorder. These diagnostic criteria have been derived by expert consensus from an extensive review of 90 years of research on hemodynamic orthostatic dizziness/vertigo, postural hypotension or tachycardia, and autonomic dizziness. Measurements of orthostatic blood pressure and heart rate are important for the screening and documentation of orthostatic hypotension or postural tachycardia syndrome to establish the diagnosis of hemodynamic orthostatic dizziness/vertigo.

Indexed as

Diagnosis, DifferentialDiagnostic Techniques, OtologicalDizzinessHemodynamicsHumansHypotension, OrthostaticPostural BalanceSyncopeTerminology as TopicVertigoVestibular Diseasesautonomic dysfunctionBárány Societyclassificationhemodynamicorthostatic dizzinessorthostatic hypotensionOrthostatic vertigopostural tachycardia syndrome

Identifiers

PMID30883381
PMCPMC9249281
OpenAlexW2955138125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.