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[A case of postprandial hypotension in an elderly subject].
Praxis (Bern 1994). 1996 Dec 10; 85(50):1621-5.P

Abstract

This is a case report of a 74-year old woman who from March 1994 to April 1995 was admitted to our hospital because of three episodes of syncope. Each general physical examination was normal except for a grade 2/6 systolic murmur. No abnormalities were disclosed after several resting electrocardiograms and Holter monitoring. The Schellong and the tilt tests were normal. During the last admission the patient had a syncope 30 minutes after a meal. Blood pressure reduction was documented and postprandial hypotension was diagnosed. Postprandial decreases in systolic blood pressure in the elderly may predispose the subject to symptomatic hypotension and to falls, dizziness, weakness, angina pectoris, stroke and syncope. The mechanism of postprandial hypotension is not fully understood. It is defined as a decrease in postprandial systolic blood pressure of 20 mmHg or more. Because postprandial hypotension is a common problem in older, frail, institutionalized patients, all physicians caring for elderly patients should be aware of the hypotensive effects of food intake and should consider postprandial hypotension in the evaluation of falls, syncope and other ischemic cerebral symptoms.

Authors+Show Affiliations

Unité de gériatrie, Ospedale regionale della Beata Vergine, Mendrisio.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

fre

PubMed ID

8999492

Citation

Ruggieri, G, et al. "[A Case of Postprandial Hypotension in an Elderly Subject]." Praxis, vol. 85, no. 50, 1996, pp. 1621-5.
Ruggieri G, Quadri P, Noseda G. [A case of postprandial hypotension in an elderly subject]. Praxis (Bern 1994). 1996;85(50):1621-5.
Ruggieri, G., Quadri, P., & Noseda, G. (1996). [A case of postprandial hypotension in an elderly subject]. Praxis, 85(50), 1621-5.
Ruggieri G, Quadri P, Noseda G. [A Case of Postprandial Hypotension in an Elderly Subject]. Praxis (Bern 1994). 1996 Dec 10;85(50):1621-5. PubMed PMID: 8999492.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of postprandial hypotension in an elderly subject]. AU - Ruggieri,G, AU - Quadri,P, AU - Noseda,G, PY - 1996/12/10/pubmed PY - 1996/12/10/medline PY - 1996/12/10/entrez SP - 1621 EP - 5 JF - Praxis JO - Praxis (Bern 1994) VL - 85 IS - 50 N2 - This is a case report of a 74-year old woman who from March 1994 to April 1995 was admitted to our hospital because of three episodes of syncope. Each general physical examination was normal except for a grade 2/6 systolic murmur. No abnormalities were disclosed after several resting electrocardiograms and Holter monitoring. The Schellong and the tilt tests were normal. During the last admission the patient had a syncope 30 minutes after a meal. Blood pressure reduction was documented and postprandial hypotension was diagnosed. Postprandial decreases in systolic blood pressure in the elderly may predispose the subject to symptomatic hypotension and to falls, dizziness, weakness, angina pectoris, stroke and syncope. The mechanism of postprandial hypotension is not fully understood. It is defined as a decrease in postprandial systolic blood pressure of 20 mmHg or more. Because postprandial hypotension is a common problem in older, frail, institutionalized patients, all physicians caring for elderly patients should be aware of the hypotensive effects of food intake and should consider postprandial hypotension in the evaluation of falls, syncope and other ischemic cerebral symptoms. SN - 1661-8157 UR - https://www.unboundmedicine.com/medline/citation/8999492/[A_case_of_postprandial_hypotension_in_an_elderly_subject]_ L2 - https://medlineplus.gov/lowbloodpressure.html DB - PRIME DP - Unbound Medicine ER -