Evidence map›Paper›PMID 35212554›Full record

ReviewCirculation. Arrhythmia and electrophysiology2022

Orthostatic Hypotension: Management of a Complex, But Common, Medical Problem.

Artur Fedorowski, Fabrizio Ricci, Viktor Hamrefors, Kristin E Sandau, Tae Hwan Chung, James A S Muldowney, Rakesh Gopinathannair, Brian Olshansky

Erratum issued Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Circulation. Arrhythmia and electrophysiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06939153 (Effects of Age, Sex and Isometric Exercise on Ventricular-Vascular Interactions During Cardiac Unloading), which is not on this map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
20.3field-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.

NCT06939153 narecruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Age, Sex and Isometric Exercise on Ventricular-Vascular Interactions During Cardiac Unloading

TypeinterventionalSponsorTracy BaynardRan2025 to 2026Enrolled64ConditionsOrthostatic IntoleranceArmsLBNP, LBNP + Isometric handgrip exercise
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 101 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Associations of Hypertension and Orthostatic Hypotension With Subclinical Cardiovascular Disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
  4. Beyond blood pressure fall: a mechanistic framework for symptom generation in orthostatic hypotension.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Orthostatic hypotension and complaints: not a clear-cut relation.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  9. Review
  10. 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
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Artur FedorowskiDepartment of Clinical Sciences, Lund University, Malmö (A.F., F.R., V.H.).ORCID 0000-0002-5352-6327
Fabrizio RicciDepartment of Clinical Sciences, Lund University, Malmö (A.F., F.R., V.H.).ORCID 0000-0002-1401-6623
Viktor HamreforsDepartment of Clinical Sciences, Lund University, Malmö (A.F., F.R., V.H.).ORCID 0000-0002-8475-0866
Kristin E SandauDepartment of Nursing, Bethel University, St. Paul, MN (K.E.S.).ORCID 0000-0002-3755-1151
Tae Hwan ChungDepartment of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD (T.H.C.).
James A S MuldowneyVanderbilt University Medical Center, Nashville, TN (J.A.S.M.).ORCID 0000-0001-7449-5868
Rakesh GopinathannairKansas City Heart Rhythm Institute, Overland Park, KS (R.G.).ORCID 0000-0003-4611-3687
Brian OlshanskyUniversity of Iowa, Iowa City (B.O.).ORCID 0000-0002-6044-045X
Malmö University · SEUniversity of Iowa · USBethel University · USHeart Rhythm Society · USJohns Hopkins University · USVanderbilt University Medical Center · US

Funding

Alteration of kynurenine pathway in age-associated muscle weaknessK08AG058483 · NIA · JOHNS HOPKINS UNIVERSITY · PI CHUNG, TAE HWAN · 2018 to 2022
$854k
NIA NIH HHS K08 AG058483
6 · The paper itself

Abstract

Orthostatic hypotension (OH), a common, often overlooked, disorder with many causes, is associated with debilitating symptoms, falls, syncope, cognitive impairment, and risk of death. Chronic OH, a cardinal sign of autonomic dysfunction, increases with advancing age and is commonly associated with neurodegenerative and autoimmune diseases, diabetes, hypertension, heart failure, and kidney failure. Management typically involves a multidisciplinary, patient-centered, approach to arrive at an appropriate underlying diagnosis that is causing OH, treating accompanying conditions, and providing individually tailored pharmacological and nonpharmacological treatment. We propose a novel streamlined pathophysiological classification of OH; review the relationship between the cardiovascular disease continuum and OH; discuss OH-mediated end-organ damage; provide diagnostic and therapeutic algorithms to guide clinical decision making and patient care; identify current gaps in knowledge and try to define future research directions. Using a case-based learning approach, specific clinical scenarios are presented highlighting various presentations of OH to provide a practical guide to evaluate and manage patients who have OH.

Indexed as

Cardiovascular DiseasesCognitive DysfunctionHypertensionHypotension, OrthostaticHumansSyncopecardiovascular diseasesheart failurehypertensionorthostatic hypotensionpatient care

Identifiers

PMID35212554
PMCPMC9049902
OpenAlexW4214545020

What Socratic holds

Textmetadata
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 Socratic graph.