Postgraduate medical journal, 1994-09, Vol.70 (827), p.638-642
1994
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Details
- Autor(en) / Beteiligte
- Titel
- Clinical presentation of orthostatic hypotension in the elderly
- Ist Teil von
- Postgraduate medical journal, 1994-09, Vol.70 (827), p.638-642
- Ort / Verlag
- London: The Fellowship of Postgraduate Medicine
- Erscheinungsjahr
- 1994
- Quelle
- EZB-FREE-00999 freely available EZB journals
- Beschreibungen/Notizen
- Fifty cases of orthostatic hypotension in the elderly are analysed. Three main modes of presentation were identified: (1) falls or mobility problems; (2) mental confusion or dementia; or (3) predominantly cardiac symptoms. Selected case histories are given to illustrate diagnostic difficulties. Medication was responsible for orthostatic hypotension in 66% of patients and striking examples of polypharmacy were encountered. However, 34% of cases were not iatrogenic. Only 14% of patients had overtly postural symptoms. A high index of suspicion is needed to diagnose orthostatic hypotension in the elderly and the condition is often overlooked. The paper provides useful diagnostic clues for clinicians.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 0032-5473eISSN: 1469-0756DOI: 10.1136/pgmj.70.827.638Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2397742
- Format
- –
- Schlagworte
- Accidental Falls, Aged, Aged, 80 and over, Arterial hypertension. Arterial hypotension, Biological and medical sciences, Blood and lymphatic vessels, Cardiology. Vascular system, Clinical manifestations. Epidemiology. Investigative techniques. Etiology, Dementia - complications, Female, Heart Diseases - complications, Humans, Hypotension, Orthostatic - complications, Hypotension, Orthostatic - diagnosis, Male, Medical sciences