Successful Treatment of Severe Orthostatic Hypotension with Erythropoietin

KAWAKAMI, K., et al.: Successful Treatment of Severe Orthostatic Hypotension with Erythropoietin. A 71‐year‐old man, who was diagnosed with familial amyloidosis type I, was admitted for treatment of severe orthostatic hypotension associated with recurrent syncopal attacks. Head‐up tilt testing demon...

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Veröffentlicht in:Pacing and clinical electrophysiology 2003-01, Vol.26 (1p1), p.105-107
Hauptverfasser: KAWAKAMI, KAZUNOBU, ABE, HARUHIKO, HARAYAMA, NOBUYA, NAKASHIMA, YASUHIDE
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container_end_page 107
container_issue 1p1
container_start_page 105
container_title Pacing and clinical electrophysiology
container_volume 26
creator KAWAKAMI, KAZUNOBU
ABE, HARUHIKO
HARAYAMA, NOBUYA
NAKASHIMA, YASUHIDE
description KAWAKAMI, K., et al.: Successful Treatment of Severe Orthostatic Hypotension with Erythropoietin. A 71‐year‐old man, who was diagnosed with familial amyloidosis type I, was admitted for treatment of severe orthostatic hypotension associated with recurrent syncopal attacks. Head‐up tilt testing demonstrated severe orthostatic hypotension (114/72 mmHg in the supine position and 62/34 mmHg in the upright position) with syncope or presyncope. Oral midodorine and fludrocortisone therapies failed to prevent his symptoms. After administration of subcutaneous erythropoietin, his blood pressure drop in the upright position was decreased and symptoms disappeared unassociated with improvement of anemia. Although previous reports have shown that the mechanism by which erythropoietin improves orthostatic hypotension is related to improvement in anemia, other mechanisms may also play a role. (PACE 2003; 26[Pt. I]:105–107)
doi_str_mv 10.1046/j.1460-9592.2003.00158.x
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subjects Aged
Amyloid Neuropathies, Familial - complications
Blood Pressure - drug effects
erythropoietin
Erythropoietin - therapeutic use
head-up tilt test
Humans
Hypotension, Orthostatic - drug therapy
Hypotension, Orthostatic - etiology
Male
orthostatic hypotension
Recombinant Proteins
syncope
Syncope - etiology
Tilt-Table Test
title Successful Treatment of Severe Orthostatic Hypotension with Erythropoietin
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