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Evaluating non drug therapies in older people with orthostatic hypotensio

Not Applicable
Completed
Conditions
Orthostatic hypotension (OH)
Circulatory System
Registration Number
ISRCTN15084870
Lead Sponsor
The Newcastle upon Tyne Hospitals NHS Foundation Trust
Brief Summary

2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30558552 qualitative results (added 15/07/2019) 2018 Results article in https://www.ncbi.nlm.nih.gov/pubmed/30006412 quantitative results (added 15/07/2019) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/35286620/ quantitative results (added 15/03/2022) 2020 Results article in https://pubmed.ncbi.nlm.nih.gov/31868889/ (added 04/01/2024)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
25
Inclusion Criteria

1. Aged 60 years or above
2. Clinical diagnosis of orthostatic hypotension (confirmed with a postural drop in systolic/diastolic blood pressure of at least 20/10 mmHg within 3 minutes of standing upright from a supine position).
3. Able to stand upright

Exclusion Criteria

1. Age below 60 years
2. Dysphagia or previous episode of aspiration
3. Peripheral vascular disease or lower limb ulceration
4. Any contra-indication to bolus water drinking (such as a fluid restriction, cardiac/renal/liver failure)
5. Unable to provide informed consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Postural systolic blood pressure drop is measured using non-invasive, beat-to-beat monitoring (Taskforce Monitor, CNSystems) at baseline (before intervention) and then during each intervention (visit 1 and visit 2).
Secondary Outcome Measures
NameTimeMethod
<br> 1. Postural diastolic blood pressure drop is measured using non-invasive, beat-to-beat monitoring (Taskforce Monitor, CNSystems) at baseline (before intervention) and then during each intervention (visit 1 and visit 2)<br> 2. Symptoms are measured using the Orthostatic Hypotension Questionnaire Symptom score at baseline and then immediately after orthostatic challenge with each intervention (visit 1 and 2)<br> 3. Acceptability of and barriers to therapy are measured using data from qualitative interviews at visit 3<br>
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