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Consensus statement on the definition of neurogenic supine hypertension in cardiovascular autonomic failure by the American Autonomic Society (AAS) and the European Federation of Autonomic Societies (EFAS)

Fanciulli, A. and Jordan, J. and Biaggioni, I. and Calandra-Buonaura, G. and Cheshire, W.P. and Cortelli, P. and Eschlboeck, S. and Grassi, G. and Hilz, M.J. and Kaufmann, H. and Lahrmann, H. and Mancia, G. and Mayer, G. and Norcliffe-Kaufmann, L. and Pavy-Le Traon, A. and Raj, S.R. and Robertson, D. and Rocha, I. and Struhal, W. and Thijs, R. and Tsioufis, K.P. and Dijk, J.G. and Wenning, G.K. (2018) Consensus statement on the definition of neurogenic supine hypertension in cardiovascular autonomic failure by the American Autonomic Society (AAS) and the European Federation of Autonomic Societies (EFAS). Clinical Autonomic Research (28), pp. 355-362. Springer. DOI: 10.1007/s10286-018-0529-8 ISSN 0959-9851

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Official URL: https://doi.org/10.1007/s10286-018-0529-8

Abstract

Purpose Patients suffering from cardiovascular autonomic failure often develop neurogenic supine hypertension (nSH), i.e., high blood pressure (BP) in the supine position, which falls in the upright position owing to impaired autonomic regulation. A committee was formed to reach consensus among experts on the definition and diagnosis of nSH in the context of cardiovascular autonomic failure. Methods As a first and preparatory step, a systematic search of PubMed-indexed literature on nSH up to January 2017 was performed. Available evidence derived from this search was discussed in a consensus expert round table meeting in Innsbruck on February 16, 2017. Statements originating from this meeting were further discussed by representatives of the American Autonomic Society and the European Federation of Autonomic Societies and are summarized in the document presented here. The final version received the endorsement of the European Academy of Neurology and the European Society of Hypertension. Results In patients with neurogenic orthostatic hypotension, nSH is defined as systolic BP ≥ 140 mmHg and/or diastolic BP ≥ 90 mmHg, measured after at least 5 min of rest in the supine position. Three severity degrees are recommended: mild, moderate and severe. nSH may also be present during nocturnal sleep, with reduced-dipping, non-dipping or rising nocturnal BP profiles with respect to mean daytime BP values. Home BP monitoring and 24-h-ambulatory BP monitoring provide relevant information for a customized clinical management. Conclusions The establishment of expert-based criteria to define nSH should standardize diagnosis and allow a better understanding of its epidemiology, prognosis and, ultimately, treatment.

Item URL in elib:https://elib.dlr.de/129794/
Document Type:Article
Title:Consensus statement on the definition of neurogenic supine hypertension in cardiovascular autonomic failure by the American Autonomic Society (AAS) and the European Federation of Autonomic Societies (EFAS)
Authors:
AuthorsInstitution or Email of AuthorsAuthors ORCID iD
Fanciulli, A.Department of Neurology, Innsbruck Medical UniversityUNSPECIFIED
Jordan, J.Institute of Aerospace Medicine, German Aerospace Center (DLR), Cologne, Germany.UNSPECIFIED
Biaggioni, I.Division of Clinical Pharmacology, Vanderbilt UniversityUNSPECIFIED
Calandra-Buonaura, G.Department of Biomedical and Neuromotor Sciences and IRCCS, Institute of Neurological Sciences of BolognaUNSPECIFIED
Cheshire, W.P.Department of Neurology, Mayo Clinic, Jacksonville, USAUNSPECIFIED
Cortelli, P.Department of Biomedical and Neuromotor Sciences and IRCCS, Institute of Neurological Sciences of BolognaUNSPECIFIED
Eschlboeck, S.Department of Neurology, Innsbruck Medical University,UNSPECIFIED
Grassi, G.Clinica Medica, University of Milano.Biocca and IRCCS Multimedica, Sesto Sangiovanni, Milan, ItalyUNSPECIFIED
Hilz, M.J.Department of Neurology, Universitätsklinikum Erlangen and Department of Neurology, Icahn School of MedicineUNSPECIFIED
Kaufmann, H.Department of Neurology, Dysautonomia Center, New YorkUNSPECIFIED
Lahrmann, H.Private Practice, Vienna, AustriaUNSPECIFIED
Mancia, G.Centro di Fisiologia Clinica ed Ipertensione, Milan, ItalyUNSPECIFIED
Mayer, G.Department of Internal Medicine IV, Innsbruck MedicalUNSPECIFIED
Norcliffe-Kaufmann, L.Department of Neurology, Dysautonomia Center, New YorkUNSPECIFIED
Pavy-Le Traon, A.Department of Neurology, French Reference Centre for Multiple System Atrophy, University Hospital of Toulouse, Toulouse, FranceUNSPECIFIED
Raj, S.R.Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, CanadaUNSPECIFIED
Robertson, D.Division of Clinical Pharmacology, Vanderbilt University,UNSPECIFIED
Rocha, I.Institute of Physiology, Faculty of Medicine, UniversityUNSPECIFIED
Struhal, W.Department of Neurology, Karl Landsteiner UniversityUNSPECIFIED
Thijs, R.Stichting Epilepsie Instellingen Nederland, Heemstede and Department of Neurology, Leiden University Medical CentreUNSPECIFIED
Tsioufis, K.P.1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, GreeceUNSPECIFIED
Dijk, J.G.Department of Neurology, Leiden University Medical Centre,Leiden, The NetherlandsUNSPECIFIED
Wenning, G.K.Department of Neurology, Innsbruck Medical University,UNSPECIFIED
Date:15 May 2018
Journal or Publication Title:Clinical Autonomic Research
Refereed publication:Yes
Open Access:No
Gold Open Access:No
In SCOPUS:Yes
In ISI Web of Science:Yes
DOI :10.1007/s10286-018-0529-8
Page Range:pp. 355-362
Publisher:Springer
ISSN:0959-9851
Status:Published
Keywords:Neurogenic supine hypertension, Nocturnal hypertension, Neurogenic orthostatic hypotension, ABPM, Autonomic failure
HGF - Research field:Aeronautics, Space and Transport
HGF - Program:Space
HGF - Program Themes:Research under Space Conditions
DLR - Research area:Raumfahrt
DLR - Program:R FR - Forschung unter Weltraumbedingungen
DLR - Research theme (Project):R - Vorhaben Systemphysiologie
Location: Köln-Porz
Institutes and Institutions:Institute of Aerospace Medicine
Institute of Aerospace Medicine > Leitungsbereich ME
Deposited By: Schrage, Larissa
Deposited On:29 Oct 2019 13:45
Last Modified:20 Jan 2020 13:21

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