{"title":"Orthostatic hypotension in pancreatic cancer.","authors":"Siwan Seaman, Stephanie Hemmings","doi":"10.1136/spcare-2025-005399","DOIUrl":null,"url":null,"abstract":"<p><p>Orthostatic hypotension is a relatively common medical diagnosis and can be debilitating for the patients it affects. There is a range of treatment options, though only one medication is licensed in the UK for treatment of orthostatic hypotension.We review the case of a man in his 70s with pancreatic cancer who developed orthostatic hypotension towards the latter stage of his disease that caused severe dizziness, impacting his quality of life. Multiple factors contributed to his orthostatic hypotension and various treatments, both non-pharmacological and pharmacological, were trialled, with varying degrees of success, to alleviate his symptoms and improve his quality of life. On reviewing his case, we identify that the medication options have different optimal scenarios in which they are effective.</p>","PeriodicalId":9136,"journal":{"name":"BMJ Supportive & Palliative Care","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Supportive & Palliative Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/spcare-2025-005399","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Orthostatic hypotension is a relatively common medical diagnosis and can be debilitating for the patients it affects. There is a range of treatment options, though only one medication is licensed in the UK for treatment of orthostatic hypotension.We review the case of a man in his 70s with pancreatic cancer who developed orthostatic hypotension towards the latter stage of his disease that caused severe dizziness, impacting his quality of life. Multiple factors contributed to his orthostatic hypotension and various treatments, both non-pharmacological and pharmacological, were trialled, with varying degrees of success, to alleviate his symptoms and improve his quality of life. On reviewing his case, we identify that the medication options have different optimal scenarios in which they are effective.
期刊介绍：
Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance.
We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication.
In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
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