Evidence map›Paper›PMID 35924561›Full record

ReviewHypertension (Dallas, Tex. : 1979)2022

Orthostatic Hypotension in Hypertensive Adults: Harry Goldblatt Award for Early Career Investigators 2021.

Inbar Raber, Matthew J Belanger, Rosemary Farahmand, Rahul Aggarwal, Nicholas Chiu, Mahmoud Al Rifai, Alan P Jacobsen, Lewis A Lipsitz, Stephen P Juraschek

Open access · greenAbstract readReview
In one paragraph

Review in Hypertension (Dallas, Tex. : 1979), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Associations of Hypertension and Orthostatic Hypotension With Subclinical Cardiovascular Disease.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Supine blood pressure measurement and its emerging role in cardiovascular risk stratification.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Review
  10. Practitioners' views on the measurement and management of postural hypotension in general practice: a qualitative inquiry.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  11. Review
  12. Use of the Hypertension Self-Care Profile: A Scoping Review.International journal of environmental research and public health · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Review
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

9 authors at 5 institutions in 1 country.

Inbar Raber *Division of Cardiology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (I.R.).
Matthew J Belanger *Northeast Medical Group, Yale New Haven Hospital, New Haven, CT (M.J.B.).
Rosemary FarahmandDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.F., R.A., N.C., L.A.L., S.P.J.).
Rahul AggarwalDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.F., R.A., N.C., L.A.L., S.P.J.).
Nicholas ChiuDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.F., R.A., N.C., L.A.L., S.P.J.).ORCID 0000-0002-8535-8428
Mahmoud Al RifaiSection of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, TX (M.A.R.).ORCID 0000-0002-6933-790X
Alan P JacobsenDivision of Cardiology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD (A.P.J.).ORCID 0000-0003-0587-8333
Lewis A LipsitzDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.F., R.A., N.C., L.A.L., S.P.J.).
Stephen P JuraschekDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (R.F., R.A., N.C., L.A.L., S.P.J.).ORCID 0000-0003-4168-2696
Beth Israel Deaconess Medical Center · USBaylor College of Medicine · USBrigham and Women's Hospital · USJohns Hopkins University · USYale New Haven Hospital · US

Funding

Prognostic Implications of Home-Based Blood Pressure Monitoring in Older AdultsR01HL158622 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JURASCHEK, STEPHEN P · 2021 to 2025
$4.5M
Clinical Implications of Blood Pressure Patterns Among Older AdultsR01HL153191 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI JURASCHEK, STEPHEN P · 2021 to 2023
$2.3M
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
NHLBI NIH HHS K23 HL135273NHLBI NIH HHS R01 HL153191NHLBI NIH HHS R01 HL158622
6 · The paper itself

Abstract

Orthostatic hypotension affects roughly 10% of individuals with hypertension and is associated with several adverse health outcomes, including dementia, cardiovascular disease, stroke, and death. Among adults with hypertension, orthostatic hypotension has also been shown to predict patterns of blood pressure dysregulation that may not be appreciated in the office setting, including nocturnal nondipping. Individuals with uncontrolled hypertension are at particular risk of orthostatic hypotension and may meet diagnostic criteria for the condition with a smaller relative reduction in blood pressure compared with normotensive individuals. Antihypertensive medications are commonly de-prescribed to address orthostatic hypotension; however, this approach may worsen supine or seated hypertension, which may be an important driver of adverse events in this population. There is significant variability between guidelines for the diagnosis of orthostatic hypotension with regards to timing and position of blood pressure measurements. Clinically relevant orthostatic hypotension may be missed when standing measurements are delayed or when taken after a seated rather than supine position. The treatment of orthostatic hypotension in patients with hypertension poses a significant management challenge for clinicians; however, recent evidence suggests that intensive blood pressure control may reduce the risk of orthostatic hypotension. A detailed characterization of blood pressure variability is essential to tailoring a treatment plan and can be accomplished using both in-office and out-of-office monitoring.

Indexed as

Awards and PrizesHypertensionHypotension, OrthostaticAntihypertensive AgentsBlood PressureHumansAntihypertensive Agentsadultsblood pressurecardiovascular diseasesdementiastroke

Identifiers

PMID35924561
PMCPMC9669124
OpenAlexW4290101177

What Socratic 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 Socratic graph.