Review Article

Orthostatic Hypotension in Patients with Parkinson’s Disease and Atypical Parkinsonism

Table 2

Diagnostic approaches to detect orthostatic hypotension in parkinsonian patients.

Diagnostic work-upTypesReference

Physical examinationHead-up tilt-table testing (HUT)
Valsalva maneuver

ImagingCardiac 123I-MIBG scintigraphy

Heart monitoringSpectral analysis of the RR interval and systolic blood pressure[22]

Brain hemodynamicsTranscranial Doppler (TCD)
Diamox injection[40]
Carbon dioxide test[8]
Cold pressure test (CPT)[41]

QuestionnaireSCOPA-AUT[30]
COMPASS[31]
NMSS (Completed by physicians)[53]
Freiburg Questionnaire[54]
Autonomic dysfunction in PD[55]
Orthostatic Grading Scale[27]
Hobson Scale[56]
Mathias et al. (L-threo-DOPS)[28, 29]