Time- and posture-specific management of severe supine hypertension and neurogenic orthostatic hypotension in diabetic autonomic neuropathy: A case report.
A 63-year-old man with insulin-treated type 2 diabetes and hypertension developed worsening orthostatic dizziness and recurrent syncope after antihypertensive intensification, including a rib fracture and loss of…
Clinical pearl
Assess blood pressure across supine, seated, and standing positions and use 24-hour monitoring when orthostatic symptoms coexist with hypertension; seated readings alone may obscure the competing hemodynamic pattern.