Changes in frequency of orthostatic hypotension in elderly hypertensive patients under medications

被引:55
作者
Masuo, K [1 ]
Mikami, H [1 ]
Ogihara, T [1 ]
Tuck, ML [1 ]
机构
[1] OSAKA UNIV, SCH MED,DEPT GERIATR MED, SUITA, OSAKA 565, JAPAN
关键词
orthostatic hypotension; elderly hypertensive patients; norepinepherine; antihypertensive drugs;
D O I
10.1016/0895-7061(95)00348-7
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
To evaluate changes in frequency of orthostatic blood pressure (BP) reduction (orthostatic hypotension; OH) in elderly hypertensive patients (HT) before and after treatment for hypertension, we measured BP after supine for 10 min and standing position for 2 min, before and after treatment for 2 years by five kinds of antihypertensive drugs in 50 elderly normotensive subjects (NT) and each of 50 HT in double-blind study. Orthostatic hypotension was defined as 10% or more decline of supine mean BP, and the frequency of OH was in 27% of HT following BP reduction by any kinds of antihypertensive drugs. In conclusion, the reducing or normalized BP by treatment for hypertension in elderly HT decreases the prevalence of orthostatic hypotension.
引用
收藏
页码:263 / 268
页数:6
相关论文
共 15 条
[1]   DISSOCIATION OF SYMPATHETIC-NERVE ACTIVITY IN ARM AND LEG MUSCLE DURING MENTAL STRESS [J].
ANDERSON, EA ;
WALLIN, BG ;
MARK, AL .
HYPERTENSION, 1987, 9 (06) :114-119
[2]   PREVALENCE OF POSTURAL HYPOTENSION AT BASE-LINE IN THE SYSTOLIC HYPERTENSION IN THE ELDERLY PROGRAM (SHEP) COHORT [J].
APPLEGATE, WB ;
DAVIS, BR ;
BLACK, HR ;
SMITH, WM ;
MILLER, ST ;
BURLANDO, AJ .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1991, 39 (11) :1057-1064
[3]  
CAIRD FI, 1973, BRIT HEART J, V35, P527
[4]   FUNCTIONAL-CHANGES IN AUTONOMIC NERVOUS RESPONSES WITH AGING [J].
COLLINS, KJ ;
EXTONSMITH, AN ;
JAMES, MH ;
OLIVER, DJ .
AGE AND AGEING, 1980, 9 (01) :17-24
[5]  
DECHAMPLAIN J, 1991, HYPERTENSION, V17, pS22
[6]   ASSESSMENT OF HUMAN SYMPATHETIC NERVOUS-SYSTEM ACTIVITY FROM MEASUREMENTS OF NOREPINEPHRINE TURNOVER [J].
ESLER, M ;
JENNINGS, G ;
KORNER, P ;
WILLETT, I ;
DUDLEY, F ;
HASKING, G ;
ANDERSON, W ;
LAMBERT, G .
HYPERTENSION, 1988, 11 (01) :3-20
[7]   INCREASED NOREPINEPHRINE SPILLOVER INTO THE JUGULAR VEINS IN ESSENTIAL-HYPERTENSION [J].
FERRIER, C ;
ESLER, MD ;
EISENHOFER, G ;
WALLIN, BG ;
HORNE, M ;
COX, HS ;
LAMBERT, G ;
JENNINGS, GL .
HYPERTENSION, 1992, 19 (01) :62-69
[8]  
HARRIS L, 1991, J GERONTOL MED SCI, V5, pM159
[9]  
LIPSITZ LA, 1989, NEW ENGL J MED, V321, P952
[10]   ORTHOSTATIC AND POSTPRANDIAL BLOOD-PRESSURE REDUCTION IN PATIENTS WITH ESSENTIAL-HYPERTENSION [J].
MASUO, K ;
MIKAMI, H ;
HABARA, N ;
OGIHARA, T .
CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, 1991, 18 (03) :155-161