Interactive diabetes case 20: A 76-year-old patient with longstanding type 2 diabetes, orthostatic hypotension, and recurrent syncope – B1

ANSWER — 

Incorrect.

Since the goal of therapy is the elimination of symptoms, no further pharmacologic intervention is indicated. Elimination of the orthostatic fall in blood pressure is not usually possible or necessary in a patient with autonomic orthostatic hypotension. For each patient, there appears to be an upright systolic blood pressure above which symptoms do not occur.

Return to the previous choice to try again. (See "Interactive diabetes case 20: A 76-year-old patient with longstanding type 2 diabetes, orthostatic hypotension, and recurrent syncope – A1".)