Evidence map›Paper›PMID 35841911›Full record

ReviewThe Lancet. Neurology2022

Diagnosis and treatment of orthostatic hypotension.

Wouter Wieling, Horacio Kaufmann, Victoria E Claydon, Veera K van Wijnen, Mark P M Harms, Stephen P Juraschek, Roland D Thijs

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in The Lancet. Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07309666 (Research, Development, and Application of Intelligent Diagnostic System for Orthostatic Hypotension), which is not on this map. Cited by 125 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 5 pooled it
36.0field-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.

NCT07309666 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Research, Development, and Application of Intelligent Diagnostic System for Orthostatic Hypotension

TypeobservationalSponsorXuanwu Hospital, BeijingRan2026 to 2029Enrolled2,000ConditionsOrthostatic HypotensionArmsIntelligent diagnostic system for orthostatic hypotension
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 5 syntheses or guidelines pooled it, 176 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Establishing minimally clinically important differences for the orthostatic hypotension questionnaire (OHQ).Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Trial
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Orthostatic Hypotension in Hypertensive Patients Hospitalized in Italian Internal Medicine Departments: FADOI-HYP-OP Study.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
  17. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  18. Article
  19. Article
  20. Article

65 more citing papers are in PubMed but not listed here.

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

7 authors at 7 institutions in 4 countries.

Wouter WielingDepartment of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Horacio KaufmannDepartment of Neurology, New York University School of Medicine, New York, NY, USA.
Victoria E ClaydonDepartment of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby, BC, Canada.
Veera K van WijnenDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Mark P M HarmsDepartment of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Stephen P JuraschekDepartment of Medicine, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
Roland D ThijsDepartment of Neurology, Leiden University Medical Centre, Leiden, Netherlands; UCL Queen Square Institute of Neurology, University College London, London, UK; Stichting Epilepsie Instellingen Nederland, Heemstede, Netherlands. Electronic address: r.d.thijs@lumc.nl.
Harvard University · USLeiden University Medical Center · NLNew York University · USSimon Fraser University · CAUniversity Medical Center Groningen · NLUniversity of Amsterdam · NLUniversity of Groningen · NL

Funding

Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2009 to 2018
$11.6M
Augmentation of Parasympathetic Signaling with Pyridostigmine in Heart FailureR01HL103988 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI KATZ, STUART D · 2011 to 2014
$2.6M
Vitamin D, Subclinical Cardiovascular Disease, and Orthostatic Hypotension in Older AdultsK23HL135273 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JURASCHEK, STEPHEN P · 2017 to 2021
$1.1M
Clinical Implications of Blood Pressure Patterns Among Older AdultsR56HL153191 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JURASCHEK, STEPHEN P · 2020 to 2020
$904k
NHLBI NIH HHS K23 HL135273NHLBI NIH HHS R01 HL103988NHLBI NIH HHS R56 HL153191NINDS NIH HHS U54 NS065736
6 · The paper itself

Abstract

Orthostatic hypotension is an unusually large decrease in blood pressure on standing that increases the risk of adverse outcomes even when asymptomatic. Improvements in haemodynamic profiling with continuous blood pressure measurements have uncovered four major subtypes: initial orthostatic hypotension, delayed blood pressure recovery, classic orthostatic hypotension, and delayed orthostatic hypotension. Clinical presentations are varied and range from cognitive slowing with hypotensive unawareness or unexplained falls to classic presyncope and syncope. Establishing whether symptoms are due to orthostatic hypotension requires careful history taking, a thorough physical examination, and supine and upright blood pressure measurements. Management and prognosis vary according to the underlying cause, with the main distinction being whether orthostatic hypotension is neurogenic or non-neurogenic. Neurogenic orthostatic hypotension might be the earliest clinical manifestation of Parkinson's disease or related synucleinopathies, and often coincides with supine hypertension. The emerging variety of clinical presentations advocates a stepwise, individualised, and primarily non-pharmacological approach to the management of orthostatic hypotension. Such an approach could include the cessation of blood pressure lowering drugs, adoption of lifestyle measures (eg, counterpressure manoeuvres), and treatment with pharmacological agents in selected cases.

Indexed as

HypertensionHypotension, OrthostaticAntihypertensive AgentsBlood PressureHumansSyncopeAntihypertensive Agents

Identifiers

PMID35841911
PMCPMC10024337
OpenAlexW4285384859

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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.