Evidence map›Paper›PMID 38205630›Full record

ReviewHypertension (Dallas, Tex. : 1979)2024

Orthostatic Hypotension in Adults With Hypertension: A Scientific Statement From the American Heart Association.

Stephen P Juraschek, Melissa M Cortez, John M Flack, Lama Ghazi, Rose Anne Kenny, Mahboob Rahman, Telisa Spikes, Cyndya A Shibao, Italo Biaggioni, American Heart Association Council on Hypertension

Open access · greenAbstract readReview
In one paragraph

Review in Hypertension (Dallas, Tex. : 1979), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
30.4field-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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Low systolic blood pressure in treated non-proteinuric CKD: cardiovascular harm or a marker of cardiac vulnerability?Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  5. Article
  6. Review
  7. 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
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Supine blood pressure measurement and its emerging role in cardiovascular risk stratification.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Frailty and Cardiovascular Risk.European cardiology · 2026
    Review
  20. Article
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

10 authors at 2 institutions in 2 countries.

Stephen P Juraschek
Melissa M Cortez
John M Flack
Lama Ghazi
Rose Anne Kenny
Mahboob Rahman
Telisa Spikes
Cyndya A Shibao
Italo Biaggioni
American Heart Association Council on Hypertension
Ghazi University · PKHackensack University Medical Center · US

Funding

Mechanism of Glucose-dependent insulinotropic polypeptide (GIP) on Splanchnic Venous Capacitance in Postural Tachycardia SyndromeR01HL159203 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Cyndya Adriana Shibao · 2022 to 2026
$4.1M
Task Area A shall encompass annual follow-up of cohort members, clinical events investigations, study operations, and data analysis and manuscript writing. If implemented, Task A.1 will provide fundin75N92020D00002 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEA, STEVEN J · 2020 to 2025
$3.4M
Hemodynamic Effects of Positive Airway Pressure to Treat Supine Hypertension and Improve Neurogenic Orthostatic HypotensionR01HL161095 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Italo Biaggioni, Luis Enrique Okamoto · 2022 to 2026
$3.2M
Sympathetic Mechanisms in the Cardiovascular and Metabolic Alterations of ObesityR01HL149386 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BIAGGIONI, ITALO · 2019 to 2023
$3.0M
Clinical Implications of Blood Pressure Patterns Among Older AdultsR01HL153191 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JURASCHEK, STEPHEN P · 2021 to 2023
$2.3M
Sensory Amplifications as Biomarkers of Migraine ProgressionR61NS125153 · NINDS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI BRENNAN, KEVIN CHRISTOPHER · 2023 to 2025
$2.2M
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
Photophobia and Pupillary Autonomic Dysfunction as Biomarkers of Post-Traumatic HeadacheK23NS105920 · NINDS · UNIVERSITY OF UTAH · PI CORTEZ, MELISSA · 2020 to 2024
$996k
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 75N92020D00002NHLBI NIH HHS K23 HL135273NHLBI NIH HHS R01 HL149386NHLBI NIH HHS R01 HL153191NHLBI NIH HHS R01 HL159203NHLBI NIH HHS R01 HL161095NHLBI NIH HHS R56 HL153191NINDS NIH HHS K23 NS105920NINDS NIH HHS R61 NS125153
6 · The paper itself

Abstract

Although orthostatic hypotension (OH) has long been recognized as a manifestation of autonomic dysfunction, a growing body of literature has identified OH as a common comorbidity of hypertension. This connection is complex, related to pathophysiology in blood pressure regulation and the manner by which OH is derived as the difference between 2 blood pressure measurements. While traditional therapeutic approaches to OH among patients with neurodegenerative disorders focus on increasing upright blood pressure to prevent cerebral hypoperfusion, the management of OH among patients with hypertension is more nuanced; resting hypertension is itself associated with adverse outcomes among these patients. Although there is substantial evidence that intensive blood pressure treatment does not cause OH in the majority of patients with essential hypertension, some classes of antihypertensive agents may unmask OH in patients with an underlying autonomic impairment. Practical steps to manage OH among adults with hypertension start with (1) a thorough characterization of its patterns, triggers, and cause; (2) review and removal of aggravating factors (often pharmacological agents not related to hypertension treatment); (3) optimization of an antihypertensive regimen; and (4) adoption of a tailored treatment strategy that avoids exacerbating hypertension. These strategies include countermaneuvers and short-acting vasoactive agents (midodrine, droxidopa). Ultimately, further research is needed on the epidemiology of OH, the impact of hypertension treatment on OH, approaches to the screening and diagnosis of OH, and OH treatment among adults with hypertension to improve the care of these patients and their complex blood pressure pathophysiology.

Indexed as

Autonomic Nervous System DiseasesHypertensionHypotension, OrthostaticMidodrineAdultAmerican Heart AssociationAntihypertensive AgentsBlood PressureHumansAntihypertensive AgentsMidodrineAHA Scientific Statementsantihypertensive agentsblood pressurecomorbidityhypertensionhypotension, orthostatic

Identifiers

PMID38205630
PMCPMC11067441
OpenAlexW4390734207

What OpenQuestion holds

Textmetadata
LicenceTDM
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.