Orthostatic hypotension and atrial fibrillation: is there a relationship?

Autor:	O. N. Antropova, G. G. Efremushkin, I. V. Osipova
Rok vydání:	2021
Předmět:	Orthostatic vital signs medicine.medical_specialty business.industry Internal medicine Internal Medicine Cardiology medicine Atrial fibrillation Cardiology and Cardiovascular Medicine medicine.disease business
Zdroj:	"Arterial’naya Gipertenziya" ("Arterial Hypertension"). 27:409-414
ISSN:	2411-8524 1607-419X
Popis:	Orthostatic hypotension (OH), a possible marker of autonomic dysfunction, reflects the inability of reflex cardiovascular mechanisms to compensate for the fall in venous return in the upright position. This is a manifestation of structural and functional abnormalities of the cardiovascular system. Significance of the orthostatic hypotension is underestimated, while it is associated with all-cause mortality and cardiovascular disease. The article reviews the relationship between atrial fibrillation (AF) and OH. The pathogenetic mechanisms of OH are considered, including various subgroups, e. g. elderly patients. The article also discusses the relationship between OH, AF and cerebrovascular complications. Available evidence suggests that impaired orthostatic hemodynamic response should be considered as a new risk factor for AF. Further research is needed for better understanding of the association between AF and OH, as well as their management.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::14f11c8aab275f5ea55984c582ec2079 https://doi.org/10.18705/1607-419x-2021-27-4-409-414 Zobrazit plný text záznamu