Perfection is the enemy of good. Letter to Editor on "OI in Parkinson's: Sit-to-stand vs supine-to-stand protocol and clinical correlates",2024, Raj

Full Title: Perfection is the enemy of good. A letter to the Editor on "Orthostatic hypotension in Parkinson's Disease: Sit-to-stand vs supine-to-stand protocol and clinical correlates", 2024, Baker, Raj

Abstract
Orthostatic hypotension (OH) is prevalent in Parkinson’s disease. Lim et al. report a higher OH detection rate with the supine-to-stand test compared to the sit-to-stand test. While they favour the supine-to-stand test, we argue that the sit-to-stand test, with adjusted blood pressure thresholds, remains a valuable and practical screening tool.

Orthostatic hypotension (OH) is a debilitating condition associated with increased cardiovascular risk, cognitive impairment, and all-cause mortality. OH becomes increasingly prevalent with older age and is associated with several chronic neurodegenerative disorders, including Parkinson's disease . OH is defined as a drop in systolic blood pressure ≥20 mmHg, or diastolic drop of ≥10 mmHg within 3 minutes of standing or head-up tilt from a supine position.

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