Ambulatory blood pressure monitoring is useful for:
Autonomic failure is a common complication of diabetes and Parkinson's disease.
However, it also occurs idiopathically - and is the most common cause for postural blood pressure drops in the elderly.
Judicious manipulation of nocturnal anti-hypertensive therapy and pharmacological measures to increase blood pressure can provide symptom control to most patients.
Dr Chris O'Callaghan is happy to further discuss this complicated area with you firstname.lastname@example.org
Tilt table testing may be indicated for the investigation unexplained collapse, in some patients with autonomic failure and in patients with orthostatic intolerance (even in the absence of syncope).
The Department of Clinical Pharmacology & Therapeutics is actively involved in providing expertise in drug utilisation and off-label/high cost individual patient drug usage. Members of the Department of Clinical Pharmacology sit on various hospital committees including the Medication Management Commitee and the Drug & Therapeutics Committee.