Tags

Type your tag names separated by a space and hit enter

Postprandial hypotension.
Am J Med. 2010 Mar; 123(3):281.e1-6.AJ

Abstract

Postprandial hypotension is both common in geriatric patients and an important but under-recognized cause of syncope. Other populations at risk include those with Parkinson disease and autonomic failure. The mechanism is not clearly understood, but appears to be secondary to a blunted sympathetic response to a meal. This review discusses the epidemiology, risk factors, and pathophysiology of postprandial hypotension in the elderly, as well as diagnosis and treatment strategies. Diagnosis can be made based on ambulatory blood pressure monitoring and patient symptoms. Lifestyle modifications such as increased water intake before eating or substituting 6 smaller meals daily for 3 larger meals may be effective treatment options. However, data from randomized, controlled trials are limited. Increased awareness of this disease may lead to improved quality of life, decreased falls and injuries, and the avoidance of unnecessary testing.

Authors+Show Affiliations

Baystate Medical Center, Springfield, MA 01199, USA. gina.luciano@bhs.orgNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20193838

Citation

Luciano, Gina L., et al. "Postprandial Hypotension." The American Journal of Medicine, vol. 123, no. 3, 2010, pp. 281.e1-6.
Luciano GL, Brennan MJ, Rothberg MB. Postprandial hypotension. Am J Med. 2010;123(3):281.e1-6.
Luciano, G. L., Brennan, M. J., & Rothberg, M. B. (2010). Postprandial hypotension. The American Journal of Medicine, 123(3), e1-6. https://doi.org/10.1016/j.amjmed.2009.06.026
Luciano GL, Brennan MJ, Rothberg MB. Postprandial Hypotension. Am J Med. 2010;123(3):281.e1-6. PubMed PMID: 20193838.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postprandial hypotension. AU - Luciano,Gina L, AU - Brennan,Maura J, AU - Rothberg,Michael B, PY - 2009/04/08/received PY - 2009/06/21/revised PY - 2009/06/24/accepted PY - 2010/3/3/entrez PY - 2010/3/3/pubmed PY - 2010/4/7/medline SP - 281.e1 EP - 6 JF - The American journal of medicine JO - Am J Med VL - 123 IS - 3 N2 - Postprandial hypotension is both common in geriatric patients and an important but under-recognized cause of syncope. Other populations at risk include those with Parkinson disease and autonomic failure. The mechanism is not clearly understood, but appears to be secondary to a blunted sympathetic response to a meal. This review discusses the epidemiology, risk factors, and pathophysiology of postprandial hypotension in the elderly, as well as diagnosis and treatment strategies. Diagnosis can be made based on ambulatory blood pressure monitoring and patient symptoms. Lifestyle modifications such as increased water intake before eating or substituting 6 smaller meals daily for 3 larger meals may be effective treatment options. However, data from randomized, controlled trials are limited. Increased awareness of this disease may lead to improved quality of life, decreased falls and injuries, and the avoidance of unnecessary testing. SN - 1555-7162 UR - https://www.unboundmedicine.com/medline/citation/20193838/Postprandial_hypotension_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9343(09)00719-0 DB - PRIME DP - Unbound Medicine ER -