{"id":2798,"date":"2018-10-17T19:06:04","date_gmt":"2018-10-17T17:06:04","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/in-the-clinical-evaluation-of-a-patient-with-a-previous-transient-loss-of-consciousness-measurement-of-laying-down-and-standing-blood-pressure-cannot-be-omitted-in-order-to-exclude-orthostatic-hypote\/"},"modified":"2023-06-07T17:04:14","modified_gmt":"2023-06-07T15:04:14","slug":"in-the-clinical-evaluation-of-the-patient-who-has-presented-a-transient-loss-of-consciousness-do-not-leave-out-the-measurement-of-blood-pressure-in-the-supine-and-standing-position-horizontal-and-up","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/in-the-clinical-evaluation-of-the-patient-who-has-presented-a-transient-loss-of-consciousness-do-not-leave-out-the-measurement-of-blood-pressure-in-the-supine-and-standing-position-horizontal-and-up\/","title":{"rendered":"In the clinical evaluation of the patient who has presented a transient loss of consciousness, do not leave out the measurement of blood pressure in the supine and standing position (horizontal and upright position) in order to exclude a condition of persistent orthostatic hypotension."},"content":{"rendered":"<p>Orthostatic hypotension is defined as a reduction in systolic pressure higher than 20 mm Hg or in diastolic pressure higher than 10 mm Hg compared to supine (horizontal position) after 3 minutes of standing (standing position) This condition is not always poorly tolerated by the patient &#8211; that is, it does not necessarily involve orthostatic intolerance &#8211; and therefore must be carefully evaluated in the clinical context.<br \/>\nIf recorded orthostatic hypotension is correlated with the episode of transient loss of consciousness, this requires the exclusion of cardiac, neurological and iatrogenic causes (diuretics, alpha-adrenergic blockers, calcium channel blockers, nitrates, tricyclic antidepressants, levo-dopa, antipsychotics); the identification of the condition leads to its treatment and, if possible, its prevention.<\/p>\n","protected":false},"featured_media":2421,"template":"","meta":{"_edit_lock":["1686150269:4"],"_edit_last":["4"],"_thumbnail_id":["2421"],"_wpml_word_count":["{\"total\":281,\"to_translate\":{\"it\":281}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["111"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["CNF #2"],"wpcf-bibliografia":["1. NICE National Institute for Health and Clinical Excellence. Transient loss of consciousness (\u2018Blackouts\u2019) Management in adults and young people. London: Royal College of Physicians (UK); 2010:11, 18, 20, 24.\r\n2. NICE National Institute for Health and Clinical Excellence. Clinical Guidelines, No. 109Transient loss of consciousness (\u2018blackouts\u2019) in over 16s. London: 2014 Sep. ISBN-13: 978-1-4731-2287-1\r\n3. ESC Guidelines for the diagnosis and management of syncope European Heart Journal, Volume 39, Issue 21, 01 June 2018, Pages 1883\u20131948"],"wpcf-posizione-prof":["2"],"wpcf-collegare":["N"],"wpcf-link-intercheck-prof":["N"],"wpcf-area-ordinamento":["Neurology"],"_wpml_media_duplicate":["0"],"_wpml_media_featured":["0"],"_yoast_wpseo_content_score":["60"],"_yoast_wpseo_focuskeywords":["[]"],"_yoast_wpseo_keywordsynonyms":["[\"\"]"],"_wpml_location_migration_done":["1"],"_layouts_template":["layout-for-raccomandazioni-professionista"],"_wp_page_template":["default"],"cmplz_hide_cookiebanner":[""],"wpcf-parole-chiave-prof":[""],"wpcf-pdfpdf-prosfessionista":["https:\/\/choosingwiselyitaly.org\/wp-content\/uploads\/2018\/10\/Scheda-CNF-2-2021-english.pdf"],"_wpv_contains_gutenberg_views":[""],"_wp_old_slug":["in-the-clinical-evaluation-of-a-patient-with-a-previous-transient-loss-of-consciousness-measurement-of-laying-down-and-standing-blood-pressure-cannot-be-omitted-in-order-to-exclude-orthostatic-hypote"],"_et_dynamic_cached_shortcodes":["a:4:{i:0;s:13:\"et_pb_section\";i:1;s:9:\"et_pb_row\";i:2;s:12:\"et_pb_column\";i:50;s:10:\"et_pb_text\";}"],"_et_dynamic_cached_attributes":["a:0:{}"],"et_enqueued_post_fonts":["a:3:{s:6:\"family\";a:1:{s:15:\"et-gf-work-sans\";s:136:\"Work+Sans:100,200,300,regular,500,600,700,800,900,100italic,200italic,300italic,italic,500italic,600italic,700italic,800italic,900italic\";}s:6:\"subset\";a:2:{i:0;s:5:\"latin\";i:1;s:9:\"latin-ext\";}s:9:\"cache_key\";s:75:\"{\"gph\":-1,\"divi\":\"4.27.6\",\"wp\":\"6.9.4\",\"enable_all_character_sets\":\"false\"}\";}"]},"eta":[{"term_id":96,"name":"Adult","slug":"adult","term_group":0,"term_taxonomy_id":96,"taxonomy":"eta","description":"","parent":0,"count":272,"filter":"raw"},{"term_id":97,"name":"Geriatric","slug":"geriatric","term_group":0,"term_taxonomy_id":97,"taxonomy":"eta","description":"","parent":0,"count":242,"filter":"raw"}],"disciplina":[111],"tipologia":"Other health practices","class_list":["post-2798","raccomandazione-prof","type-raccomandazione-prof","status-publish","has-post-thumbnail","hentry","eta-adult","eta-geriatric","disciplina-neurology","tipologia-other-health-practices"],"_links":{"self":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof\/2798","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/raccomandazione-prof"}],"about":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/types\/raccomandazione-prof"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media\/2421"}],"wp:attachment":[{"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/media?parent=2798"}],"wp:term":[{"taxonomy":"eta","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/eta?post=2798"},{"taxonomy":"disciplina","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/disciplina?post=2798"},{"taxonomy":"tipologia","embeddable":true,"href":"https:\/\/choosingwiselyitaly.org\/en\/wp-json\/wp\/v2\/tipologia?post=2798"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}