Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria

The aims of this study were to find out whether Postprandial hypotension (PPH) occurs more frequently in patients admitted to a geriatric ward than in healthy elderly individuals, what the optimal interval between blood pressure measurements is in order to diagnose PPH and how often it is associated...

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Main Authors: Narender P. Van Orshoven, Paul A. F. Jansen, Irène Oudejans, Yvonne Schoon, P. Liam Oey
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.4061/2010/243752
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author Narender P. Van Orshoven
Paul A. F. Jansen
Irène Oudejans
Yvonne Schoon
P. Liam Oey
author_facet Narender P. Van Orshoven
Paul A. F. Jansen
Irène Oudejans
Yvonne Schoon
P. Liam Oey
author_sort Narender P. Van Orshoven
collection DOAJ
description The aims of this study were to find out whether Postprandial hypotension (PPH) occurs more frequently in patients admitted to a geriatric ward than in healthy elderly individuals, what the optimal interval between blood pressure measurements is in order to diagnose PPH and how often it is associated with symptoms.The result of this study indicates that PPH is present in a high number of frail elderly, but also in a few healthy older persons. Measuring blood pressure at least every 10 minutes for 60 minutes after breakfast will adequately diagnose PPH, defined as >20 mmHg systolic fall, in most patients. However with definition of PPH as >30 mmHg systolic fall, measuring blood pressure every 10 minutes will miss PPH in one of three patients. With the latter definition of PPH the presence of postprandial complaints is not associated with the existence of PPH.
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series Journal of Aging Research
spelling doaj-art-0519a1b47827486da9eaf515ffb6dddf2025-08-20T03:54:28ZengWileyJournal of Aging Research2090-22122010-01-01201010.4061/2010/243752243752Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic CriteriaNarender P. Van Orshoven0Paul A. F. Jansen1Irène Oudejans2Yvonne Schoon3P. Liam Oey4Department of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, The NetherlandsDepartment of Geriatric Medicine, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, The NetherlandsDepartment of Geriatric Medicine, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, The NetherlandsDepartment of Geriatric Medicine, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, The NetherlandsDepartment of Neurology, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, The NetherlandsThe aims of this study were to find out whether Postprandial hypotension (PPH) occurs more frequently in patients admitted to a geriatric ward than in healthy elderly individuals, what the optimal interval between blood pressure measurements is in order to diagnose PPH and how often it is associated with symptoms.The result of this study indicates that PPH is present in a high number of frail elderly, but also in a few healthy older persons. Measuring blood pressure at least every 10 minutes for 60 minutes after breakfast will adequately diagnose PPH, defined as >20 mmHg systolic fall, in most patients. However with definition of PPH as >30 mmHg systolic fall, measuring blood pressure every 10 minutes will miss PPH in one of three patients. With the latter definition of PPH the presence of postprandial complaints is not associated with the existence of PPH.http://dx.doi.org/10.4061/2010/243752
spellingShingle Narender P. Van Orshoven
Paul A. F. Jansen
Irène Oudejans
Yvonne Schoon
P. Liam Oey
Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria
Journal of Aging Research
title Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria
title_full Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria
title_fullStr Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria
title_full_unstemmed Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria
title_short Postprandial Hypotension in Clinical Geriatric Patients and Healthy Elderly: Prevalence Related to Patient Selection and Diagnostic Criteria
title_sort postprandial hypotension in clinical geriatric patients and healthy elderly prevalence related to patient selection and diagnostic criteria
url http://dx.doi.org/10.4061/2010/243752
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