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Lovegrove E, Rull G, Shah M, Julu PO, Wolff C, Gallagher DA, Lobo MD. Dysautonomia Causing Severe Orthostatic Hypotension: An Important, Early Finding in Neurodegenerative Disorders. JACC Case Rep 2021; 3:1156-1160. [PMID: 34471903 PMCID: PMC8314124 DOI: 10.1016/j.jaccas.2021.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 03/02/2021] [Accepted: 03/10/2021] [Indexed: 11/29/2022]
Abstract
Orthostatic hypotension is common and dangerous; it has neurogenic and nonneurogenic causes. We present the case of a 40-year-old man with severe neurogenic hypotension, caused by young-onset multiple system atrophy. In patients presenting with neurogenic orthostatic hypotension, underlying neurodegenerative diseases should always be considered. (Level of Difficulty: Advanced.)
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Affiliation(s)
- Elizabeth Lovegrove
- William Harvey Research Institute and Barts NIHR Cardiovascular Biomedical Research Centre, Queen Mary University of London, London, United Kingdom.,Barts Heart Centre, Barts Health National Health Service Trust, London, United Kingdom
| | - Gurvinder Rull
- William Harvey Research Institute and Barts NIHR Cardiovascular Biomedical Research Centre, Queen Mary University of London, London, United Kingdom.,Barts Heart Centre, Barts Health National Health Service Trust, London, United Kingdom
| | - Mussadiq Shah
- William Harvey Research Institute and Barts NIHR Cardiovascular Biomedical Research Centre, Queen Mary University of London, London, United Kingdom
| | - Peter O Julu
- William Harvey Research Institute and Barts NIHR Cardiovascular Biomedical Research Centre, Queen Mary University of London, London, United Kingdom
| | - Christopher Wolff
- William Harvey Research Institute and Barts NIHR Cardiovascular Biomedical Research Centre, Queen Mary University of London, London, United Kingdom
| | - David A Gallagher
- Department of Neurology, Barts Health National Health Service Trust, London, United Kingdom
| | - Melvin D Lobo
- William Harvey Research Institute and Barts NIHR Cardiovascular Biomedical Research Centre, Queen Mary University of London, London, United Kingdom.,Barts Heart Centre, Barts Health National Health Service Trust, London, United Kingdom
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