title: Orthostatic blood pressure control in Marfan's syndrome.
abstract: A 33-year old male patient, with Marfan's syndrome, reported symptoms of orthostatic intolerance and fatigue as a longstanding problem. Orthostatic cardiovascular examination showed poor orthostatic tolerance, with a rise in heart rate and a fall in arterial blood pressure and cerebral blood flow velocity. Self-discovered physical counterpressure manoeuvers improved symptoms, related to a substantial increase in arterial pressure and cerebral perfusion. When orthostatic complaint are reported by patients with Marfan's syndrome, physical counterpressure manoeuvers should be advised to reduce symptoms of postural hypotension.
authors.affiliation: Department of Internal Medicine F4-222, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
authors.forename: Nynke
authors.initials: N
authors.lastname: van Dijk
authors.forename: Rogier V
authors.initials: RV
authors.lastname: Immink
authors.forename: Barbara J M
authors.initials: BJ
authors.lastname: Mulder
authors.forename: Johannes J
authors.initials: JJ
authors.lastname: van Lieshout
authors.forename: Wouter
authors.initials: W
authors.lastname: Wieling
mesh_terms: D000328:Adult; D001783:Blood Flow Velocity / Q000502:physiology; D002560:Cerebrovascular Circulation / Q000502:physiology; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007024:Hypotension, Orthostatic / Q000209:etiology / Q000503:physiopathology* / Q000517:prevention & control*; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*