Successful pregnancy and delivery in a patient with neurogenic orthostatic hypotension and achalasia: a case report.
A successful pregnancy and delivery in a patient with neurogenic orthostatic hypotension and a past medical history of achalasia is described. Surprisingly, she was free from orthostatic hypotension during the last trimester, though the evaluation of adrenergic function by measurements of changes in plasma norepinephrine on standing and by the response of blood pressure to infused norepinephrine revealed no difference between function before pregnancy and that during the last trimester. Orthostatic hypotension started again just after delivery.
Sakoda
S
S
Third Department of Internal Medicine, Osaka University Hospital, Japan.
Azuma
T
T
Hojo
K
K
Mizuno
R
R
Tsujino
S
S
Kishimoto
S
S
Suzuki
T
T
D000328:Adult; D001794:Blood Pressure; D004837:Epinephrine / Q000652:urine; D004931:Esophageal Achalasia; D005260:Female; D006801:Humans; D007024:Hypotension, Orthostatic; D008676:Metanephrine / Q000652:urine; D009638:Norepinephrine / Q000652:urine; D009647:Normetanephrine / Q000652:urine; D011247:Pregnancy; D011248:Pregnancy Complications; D011256:Pregnancy Outcome
D009647:Normetanephrine; D008676:Metanephrine; D009638:Norepinephrine; D004837:Epinephrine