University of Groningen
Patterns of orthostatic hypotension and the evaluation of syncope
van Wijnen, Veera Kariina
DOI:
10.33612/diss.112725119
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Publication date: 2020
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van Wijnen, V. K. (2020). Patterns of orthostatic hypotension and the evaluation of syncope. Rijksuniversiteit Groningen. https://doi.org/10.33612/diss.112725119
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ISBN/EAN: 978-94-034-2267-1 978-94-034-2268-8
Cover design: Matt Goolding, Tjitske Starkenburg and Roel Tempelaar Layout and design: Douwe Oppewal, www.oppewal.nl
Print: Ipskamp Printing, www.ipskampprinting.nl
Financial support for printing of this thesis was kindly provided by Finapres Medical Systems, Graduate School of Medical Sciences and the University of Groningen.
Copyright © Veera Kariina van Wijnen, 2020
All rights reserved. No part of this thesis may be reproduced, stored or transmitted in any way or by any means without permission of the author, or when applicable, of the publishers of the scientific papers.
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Patterns of orthostatic
hypotension and the evaluation
of syncope
Proefschrift
ter verkrijging van de graad van doctor aan de
Rijksuniversiteit Groningen
op gezag van de
rector magnificus prof. dr. C. Wijmenga
en volgens besluit van het College voor Promoties.
De openbare verdediging zal plaatsvinden op
woensdag 12 februari 2020 om 14:30 uur
door
Veera Kariina van Wijnen
geboren op 27 oktober 1989
te Groningen
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Promotores
Prof. dr. J.C. ter Maaten Prof. dr. R.O.B. Gans
Copromotores
Dr. M.P.M. Harms Dr. W. Wieling
Beoordelingscommissie
Prof. dr. P.W.B. Nanayakkara Prof. dr. B.C. van Munster Prof. dr. A.J. Smit
Paranimfen
M.S. Purmer W. Rommers
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For when the One Great Scorer comes to mark against your name
He writes - not that you won or lost - but how you played the Game
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TABLE OF CONTENTS
Chapter 1 General introduction and scope of the thesis 9
PART I: ORTHOSTATIC BLOOD PRESSURE RECOVERY PATTERNS 16
Chapter 2 Noninvasive beat-to-beat finger arterial pressure monitoring during 19 orthostasis: a comprehensive review of normal and abnormal responses
at different ages.
J Intern Med. 2017;282:468-483.
Chapter 3 A practical guide to active stand testing and analysis using continuous 43 beat-to-beat non-invasive blood pressure monitoring.
Clin Auton Res. 2019;29:427-441.
Chapter 4 Initial orthostatic hypotension in teenagers and young adults. 77 Clin Auton Res. 2016;26:441-449.
Chapter 5 Orthostatic blood pressure recovery patterns in suspected syncope in the 93 emergency department.
Emerg Med J. 2018;35:226-230.
Chapter 6 Hemodynamic mechanisms underlying initial orthostatic hypotension, 105 delayed recovery and orthostatic hypotension.
J Am Med Dir Assoc. 2018;19:786-792.
Chapter 7 Orthostatic hypotension in the first minute after standing up: 121 what is the clinical relevance and do symptoms matter?
Hypertension. 2018;71:816-818
Chapter 8 Delayed orthostatic hypotension and vasovagal syncope: 129 a diagnostic dilemma.
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PART II: SYNCOPE – EVALUATION AND MANAGEMENT 136
Chapter 9 Diagnostic accuracy of evaluation of suspected syncope in the emergency 137 department: usual practice vs. ESC guidelines.
Submitted
Chapter 10 Follow-up of syncope patients from the emergency department in a 155 syncope unit: who might benefit?
Submitted
Chapter 11 Summary and Future Perspectives 171
Chapter 12 Nederlandse samenvatting 181
Dankwoord About the author List of Publications
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