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Orthostatic hypotension in the elderly: are the diagnostic criteria adequate?
J Hum Hypertens. 2004 May; 18(5):301-5.JH

Abstract

Orthostatic hypotension (OH) is a common finding in the elderly. OH is defined as a fall of at least 20 mmHg in systolic blood pressure (BP) and/or 10 mmHg in diastolic BP upon assuming an upright posture. Some patients exhibit a fall in BP of less than the defined OH upon standing. The aim of this study was to estimate the prevalence of BP changes not defined as OH among elderly in-patients and to assess the relationship between these changes in the morning and the occurrence of OH during the day. Postural BP measurements were performed in 502 in-patients; in the morning, early afternoon, and in the evening. We defined intermediate postural drop (ID) in BP as a decrease of 10-19 mmHg in systolic BP and/or of 5-9 mmHg in diastolic BP. We observed that OH and ID occurred in 39.2 and 18.5% of the measurements in the morning, respectively. The prevalence of OH and ID was lower in the evening than in the morning (P<0.05) and afternoon (P<0.005). Postural BP changes in the morning correlated with those occurring later in the day. Patients who had ID in the morning had a 57% probability of having OH later during the day. In conclusions, ID is prevalent in elderly in-patients. ID in the morning predicts OH later in the day. Thus, postural BP drops below the OH range may be an important finding in the geriatric population.

Authors+Show Affiliations

Department of Geriatrics, Rabin Medical Center, Petqah Tiqwa, Israel.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15103309

Citation

Weiss, A, et al. "Orthostatic Hypotension in the Elderly: Are the Diagnostic Criteria Adequate?" Journal of Human Hypertension, vol. 18, no. 5, 2004, pp. 301-5.
Weiss A, Chagnac A, Beloosesky Y, et al. Orthostatic hypotension in the elderly: are the diagnostic criteria adequate? J Hum Hypertens. 2004;18(5):301-5.
Weiss, A., Chagnac, A., Beloosesky, Y., Weinstein, T., Grinblat, J., & Grossman, E. (2004). Orthostatic hypotension in the elderly: are the diagnostic criteria adequate? Journal of Human Hypertension, 18(5), 301-5.
Weiss A, et al. Orthostatic Hypotension in the Elderly: Are the Diagnostic Criteria Adequate. J Hum Hypertens. 2004;18(5):301-5. PubMed PMID: 15103309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Orthostatic hypotension in the elderly: are the diagnostic criteria adequate? AU - Weiss,A, AU - Chagnac,A, AU - Beloosesky,Y, AU - Weinstein,T, AU - Grinblat,J, AU - Grossman,E, PY - 2004/4/23/pubmed PY - 2004/8/11/medline PY - 2004/4/23/entrez SP - 301 EP - 5 JF - Journal of human hypertension JO - J Hum Hypertens VL - 18 IS - 5 N2 - Orthostatic hypotension (OH) is a common finding in the elderly. OH is defined as a fall of at least 20 mmHg in systolic blood pressure (BP) and/or 10 mmHg in diastolic BP upon assuming an upright posture. Some patients exhibit a fall in BP of less than the defined OH upon standing. The aim of this study was to estimate the prevalence of BP changes not defined as OH among elderly in-patients and to assess the relationship between these changes in the morning and the occurrence of OH during the day. Postural BP measurements were performed in 502 in-patients; in the morning, early afternoon, and in the evening. We defined intermediate postural drop (ID) in BP as a decrease of 10-19 mmHg in systolic BP and/or of 5-9 mmHg in diastolic BP. We observed that OH and ID occurred in 39.2 and 18.5% of the measurements in the morning, respectively. The prevalence of OH and ID was lower in the evening than in the morning (P<0.05) and afternoon (P<0.005). Postural BP changes in the morning correlated with those occurring later in the day. Patients who had ID in the morning had a 57% probability of having OH later during the day. In conclusions, ID is prevalent in elderly in-patients. ID in the morning predicts OH later in the day. Thus, postural BP drops below the OH range may be an important finding in the geriatric population. SN - 0950-9240 UR - https://www.unboundmedicine.com/medline/citation/15103309/Orthostatic_hypotension_in_the_elderly:_are_the_diagnostic_criteria_adequate L2 - https://doi.org/10.1038/sj.jhh.1001668 DB - PRIME DP - Unbound Medicine ER -