Autonomic Failure Syndrome (Pure Autonomic Failure)

Degenerative disorder of the peripheral autonomic nervous system and considered to be one of the Lewy body diseases (1,2)

Blood pressure (BP) drops with inadequate compensatory rise ...

Dizziness or near syncope within seconds after standing, after a large meal (especially carbohydrate heavy), or in hot weather (5)

Hypertension when lying flat (4,5)

Neck pain in coat...

Encourage physical exercise; avoid immobility.

Consider compression stockings, abdominal binder (1,2)[C].

Sleep with head of bed raised about 30 degrees (head-tilt position) ...

84438001 Pure autonomic failure

15241006 Disorder of autonomic nervous system

Orthostatic hypotension defined by systolic BP drop of >20 mm Hg or diastolic BP drop >10 mm Hg within 3 minutes of standing or head-up tilt test of at least 60-degree angle (3)

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