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Occurrence and relevance of postprandial hypotension in patients with essential hypertension.
Wien Klin Wochenschr. 1999 Apr 23; 111(8):320-5.WK

Abstract

The aim of this study was to determine the occurrence of postprandial hypotension (PPH) in patients with arterial hypertension, identify its risk factors and evaluate the importance of postprandial blood pressure reduction in relation to the management of hypertension. Forty-nine patients (23 male; 26 female; mean age 65.6 +/- 12 years) with diagnosed hypertension underwent measurement of blood pressure and pulse rate before intake of a standardised breakfast (1821 kJ) and at 15-minute intervals until 1 hour thereafter. The orthostatic test for detection of orthostatic hypotension was performed before the ingestion of food. PPH was detected in 22 patients (45%) with arterial hypertension. Patients treated with diuretics had significantly greater postprandial reductions in blood pressure compared to those who received no diuretic treatment. Levels of premeal systolic blood pressure, age, orthostatic hypotension, history of syncope cardiovascular disease or stroke were not associated with a more severe decline in postprandial blood pressure. Maximal reductions in blood pressure were recorded approximately 33 +/- 15 minutes after ingestion of food. Therefore, recent intake of food should be taken into account in the evaluation of hypertension and the effect of antihypertensive drugs when blood pressure is measured within one hour after a meal.

Authors+Show Affiliations

Department of Internal Medicine II, Medical Faculty, Kosice, Slovak Republic. pmitro@kosice.upjs.skNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10378313

Citation

Mitro, P, et al. "Occurrence and Relevance of Postprandial Hypotension in Patients With Essential Hypertension." Wiener Klinische Wochenschrift, vol. 111, no. 8, 1999, pp. 320-5.
Mitro P, Feterik K, Cvercková A, et al. Occurrence and relevance of postprandial hypotension in patients with essential hypertension. Wien Klin Wochenschr. 1999;111(8):320-5.
Mitro, P., Feterik, K., Cvercková, A., & Trejbal, D. (1999). Occurrence and relevance of postprandial hypotension in patients with essential hypertension. Wiener Klinische Wochenschrift, 111(8), 320-5.
Mitro P, et al. Occurrence and Relevance of Postprandial Hypotension in Patients With Essential Hypertension. Wien Klin Wochenschr. 1999 Apr 23;111(8):320-5. PubMed PMID: 10378313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Occurrence and relevance of postprandial hypotension in patients with essential hypertension. AU - Mitro,P, AU - Feterik,K, AU - Cvercková,A, AU - Trejbal,D, PY - 1999/6/23/pubmed PY - 1999/6/23/medline PY - 1999/6/23/entrez SP - 320 EP - 5 JF - Wiener klinische Wochenschrift JO - Wien Klin Wochenschr VL - 111 IS - 8 N2 - The aim of this study was to determine the occurrence of postprandial hypotension (PPH) in patients with arterial hypertension, identify its risk factors and evaluate the importance of postprandial blood pressure reduction in relation to the management of hypertension. Forty-nine patients (23 male; 26 female; mean age 65.6 +/- 12 years) with diagnosed hypertension underwent measurement of blood pressure and pulse rate before intake of a standardised breakfast (1821 kJ) and at 15-minute intervals until 1 hour thereafter. The orthostatic test for detection of orthostatic hypotension was performed before the ingestion of food. PPH was detected in 22 patients (45%) with arterial hypertension. Patients treated with diuretics had significantly greater postprandial reductions in blood pressure compared to those who received no diuretic treatment. Levels of premeal systolic blood pressure, age, orthostatic hypotension, history of syncope cardiovascular disease or stroke were not associated with a more severe decline in postprandial blood pressure. Maximal reductions in blood pressure were recorded approximately 33 +/- 15 minutes after ingestion of food. Therefore, recent intake of food should be taken into account in the evaluation of hypertension and the effect of antihypertensive drugs when blood pressure is measured within one hour after a meal. SN - 0043-5325 UR - https://www.unboundmedicine.com/medline/citation/10378313/Occurrence_and_relevance_of_postprandial_hypotension_in_patients_with_essential_hypertension_ L2 - http://www.diseaseinfosearch.org/result/8360 DB - PRIME DP - Unbound Medicine ER -