Elsevier

The Lancet

Volume 339, Issue 8798, 11 April 1992, Pages 897-898
The Lancet

SHORT REPORTS
Physical manoeuvres for combating orthostatic dizziness in autonomic failure

https://doi.org/10.1016/0140-6736(92)90932-SGet rights and content

Abstract

Some patients with orthostatic hypotension combat orthostatic dizziness by leg-crossing and squatting. Changes in blood pressure with these manoeuvres were studied in 7 patients with hypoadrenergic orthostatic hypotension and in 6 healthy subjects. Without leg-crossing, 5 of the patients reported dizziness within 10 min of standing up. Crossing of the legs allowed all to stand for 10 min or more, and there was an associated increase in mean blood pressure of 13 (SD 6) mm Hg compared with 1 (4) in healthy controls; the corresponding figures for squatting were 44 (18) and 8 (6) mm Hg. Patients with orthostatic intolerance should be told about these blood-pressure-raising manoeuvres.

References (9)

  • Jj Van Lieshout et al.

    Pitfalls in the assessment of cardiovascular reflexes in patients with sympathetic failure but intact vagal control

    Clin Sci

    (1989)
  • Bpm Imholz et al.

    Non-invasive continuous finger blood pressure measurement during orthostatic stress compared to intra-arterial pressure

    Cardiovasc Res

    (1990)
  • Wa Jeffers et al.

    Types of orthostatic hypotension and their treatment

    Am J Med Sci

    (1941)
  • I. Biaggioni et al.

    Dopamine-beta-hydroxylase deficiency in humans

    Neurology

    (1990)
There are more references available in the full text version of this article.

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