Orthostatic Hypotension During HTN Tx Not Tied to CVD Events - Physician's Weekly

THURSDAY, Feb. 13, 2020 - Orthostatic hypotension during hypertension treatment is not associated with a higher risk for cardiovascular disease events, according to a study published online Jan. 27 in Hypertension.

During a median three-year follow-up, the researchers found 1,170 instances of OH among those assigned a standard BP goal and 1,057 among those assigned the intensive BP goal.

There was no association seen between OH and a higher risk for cardiovascular disease events.

OH was not associated with syncope, electrolyte abnormalities, injurious falls, or acute renal failure.

There were associations noted between OH and hypotension-related hospitalizations or emergency department visits and bradycardia, but these associations did not differ by BP treatment goal.

"Symptomless OH during hypertension treatment should not be viewed as a reason to down-titrate therapy even in the setting of a lower BP goal," the authors write.

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