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Tests raising the head of the bed for high blood pressure when lying down

Tests raised bed head position in adults with autonomic failure and lying high blood pressure.

Plain-language title generated from the registry record
Registry title: Effect of Raised Head of the Bed on Lying Blood Pressure in Autonomic Failure

Key facts

Where
Nashville, United StatesSee the site

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 85 years old?

Source: NCT04502225, who can take part

Where in United States

  • Vanderbilt University Medical CenterNashville, United StatesTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Vanderbilt University Medical Center
Trial code
NCT04502225
Record updated
22 October 2026
Original description
Many persons with autonomic failure often have high blood pressure when lying down (supine hypertension). This study is exploring the impact of decreased venous return to the heart (achieved by raising the head of the bed) to lessen supine blood pressure. If decreased venous return to the heart is effective at lowering supine blood pressure, these approaches may be utilized to treat supine hypertension non-pharmacologically. Raising the head of the bed decreases the amount of blood returning to the heart due to the effects of gravity. In this case, the decreased blood return to the heart may decrease blood pressure.Read full original descriptionShow less

Impact of Decreased Venous Return on Supine Blood Pressure

Many persons with autonomic failure often have high blood pressure when lying down (supine hypertension). This study is exploring the impact of decreased venous return to the heart (achieved by raising the head of the bed) to lessen supine blood pressure. If decreased venous return to the heart is effective at lowering supine blood pressure, these approaches may be utilized to treat supine hypertension non-pharmacologically. Raising the head of the bed decreases the amount of blood returning to the heart due to the effects of gravity. In this case, the decreased blood return to the heart may decrease blood pressure.

Inclusion: Patients with autonomic failure and with supine hypertension from all races; Males and females, between 18 to 85 years.

Exclusion: High-risk patients (for example: heart failure, symptomatic coronary artery disease, liver impairment, history of stroke or myocardial infarction); History of serious allergies or asthma; All medical students; Pregnant women.

ClinicalTrials.gov NCT04502225