The Prevalence of ortostatic hypotension in the geriatric hospital and old-age home population

Authors

  • José Ducla-Soares Chefe de serviço de Medicina Interna; Professor agregado de Medicina Interna, Clínica Universitária de Medicina I, Faculdade de Medicina da Universidade de Lisboa/ Hospital de Santa Maria
  • Catarina Matos Aluna do sexto ano da Faculdade de Medicina da Universidade de Lisboa
  • Inês Vaz-Luís Aluna do sexto ano da Faculdade de Medicina da Universidade de Lisboa

Keywords:

orthostatic hypotension, prevalence, elderly

Abstract

Orthostatic Hypotension (OH) may result in substantial morbidity and mortality in
elderly people. Studies in foreign countries have found a high prevalence of OH in the
elderly. Our objectives were evaluating OH in hospital patients and in homes for the
elderly, the associated symptoms and comorbidity.
Blood pressure measurements of 70 people were taken and symptoms and the diseases
among those who were found to have OH were registered.
The prevalence of OH was 38.6 % (36% in hospital patients and 45% in homes for the
elderly). In those who had OH1: the most frequent symptoms that were associated with
postural change were dizziness, visual and hearing disorders2; the most frequent
diseases were hypertension and coronary heart disease.
In our study we found a high prevalence of O.H. in elderly people. Therefore, the
regular detection of O.H. in the elderly is of considerable importance.

Downloads

Download data is not yet available.

References

The Consensus Comitee of American Autonomic Society and the American Academy of Neurology: Concensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy. Neurology 1996; 46: 1470.

Hines S, Houston M, Robertson D: The clinical spectrum of autonomic dysfuntion. Am J Med 1981; 70: 1091-1096.

Bannister R: Clinical features of progressive autonomic failure. In: Autonomic failure: a textbook of clinical disorders of the autonomic nervous system. Oxford, Oxford University Press 1983: 67-73.

Craig GM: Clinical presentation of orthostatic hypotension in elderly. Postgrad Med J 1994; 70: 638-642.

Caird FI, Andrews GR, Kennedy RD: Effect of posture on blood pressure in the eldery. Br Heart J 1973; 35: 527-530.

Lipsitz, LA: Orthostatic hypotension in the elderly. New England Journal of Med 1989; 5:952-956.

Rodstein M, Zeman FD: Postural blood pressure changes in the eldery. J Chronic Dis 1957; 6: 581-588.

Madder SL, Josephon KR, Rubenstein LS: Low prevalence of postural hypotension among healthy elderly, JAMA 1987; 258: 1511-1514.

Cunha, UGV, Costa IL, Faria GO, Júnior CGC: Hipotensão ortostática em idosos hospitalizados. Arq Bras Cardiol 1991; 56:39-42.

Low PA, Suarez GA, Benarroch EE: Clinical autonomic disorders: classification and clinical evaluation. In: Low PA (editor) Clinical autonomic disorders, 2nd edition, by Mayo Foundation, edited by Lippincott-Raven Publishers, Philadelphia, 1997:3-15.

Ducla-Soares, JL: Hipotensão Ortostática: o estado da arte. In: Medicina Interna 2001;8: 80-88.

Bannister R: Treatment of progressive autonomic failure. In: Bannister R (ed); Autonomic failure. Oxford, Oxford University Press 1983: 316-334.

Sheps SG: Use of an elastic garment in the treatment of orthostatic hypotension. Cardiology 1976; 61 (suppl 1): 271-279.

Wieling W, van Lieshout JJ, van Leeuwen AM: Physical manoeuvres that reduce postural hypotension in autonomic failure . Clinical Autonomic Research 1993; 3:57-65

Additional Files

Published

2002-12-31

How to Cite

1.
Ducla-Soares J, Matos C, Vaz-Luís I. The Prevalence of ortostatic hypotension in the geriatric hospital and old-age home population. RPMI [Internet]. 2002 Dec. 31 [cited 2024 May 20];9(4). Available from: https://revista.spmi.pt/index.php/rpmi/article/view/1870

Issue

Section

Original Articles