Study Shows No Connection Between Orthostatic Hypotension and Recurrent Falls

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A prospective study of the association between orthostatic hypotension and falls: definition matters.

Background falls are a common cause of morbidity and mortality in older people. Orthostatic hypotension (OH) is considered an important risk factor for falls, but longitudinal studies have failed to show a clear association. This disparity may be because conventional methods of measuring blood pressure (BP) changes are too imprecise and/or the diagnostic criteria for OH are inappropriate. Over ...

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Orthostatic hypotension.

A 29-year-old white woman (weight, 1211b; height, 5 ft 6 in.) was referred to the Hypertension Unit of Massachusetts General Hospital in December 1984. She had been athletic and apparently in excellent health until September 1979 when she contracted an upper respiratory tract infection associated with wheezing. She was treated with prednisone for 5 days with resolution of the symptoms but later...

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The connection between patient falls and medication.

189 Louhivuori, 2007; Krauss et al., 2005). However, these studies demonstrate medication use as a consistent, common factor in falls by older adults. Healthy People 2010 (Office of Disease Prevention and Health Promotion, U.S. Department of Health and Human Services, 2000) identified injury and violence prevention as one of the nation’s leading health indicators for the future. Fall prevention...

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Neurogenic Orthostatic Hypotension

n engl j med 358;6 www.nejm.org february 7, 2008 615 A 65-year-old man reports a 6-month history of dizziness, light-headedness, weakness, and fatigue while upright. He takes no medication and has no personal or family history of neurologic disease. On physical examination, his supine blood pressure is 160/100 mm Hg, with a heart rate of 72 beats per minute; on standing, his blood pressure fall...

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Orthostatic hypotension and cardiovascular risk.

Orthostatic hypotension (OH) results from a failure of neural and circulatory mechanisms to compensate for the reduction in venous return that normally occurs on assuming the upright posture. OH is defined as a fall in systolic blood pressure of 20 mm Hg or diastolic blood pressure of 10 mm Hg measured within 3 minutes of standing.1 OH can result from side effects of medications, intravascular ...

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ژورنال

عنوان ژورنال: Caring for the Ages

سال: 2017

ISSN: 1526-4114

DOI: 10.1016/j.carage.2017.02.020