Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures
Postprandial hypotension (PPH) is an important but underrecognized condition resulting from an inadequate compensatory cardiovascular response to meal-induced visceral blood pooling. PPG is recognized as an important clinical problem because it has a high prevalence in the older age group and is ass...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
SINAPS LLC
2024-08-01
|
| Series: | Архивъ внутренней медицины |
| Subjects: | |
| Online Access: | https://www.medarhive.ru/jour/article/view/1819 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849403595524407296 |
|---|---|
| author | O. N. Antropova A. A. Efremushkina |
| author_facet | O. N. Antropova A. A. Efremushkina |
| author_sort | O. N. Antropova |
| collection | DOAJ |
| description | Postprandial hypotension (PPH) is an important but underrecognized condition resulting from an inadequate compensatory cardiovascular response to meal-induced visceral blood pooling. PPG is recognized as an important clinical problem because it has a high prevalence in the older age group and is associated with the development of cardiovascular complications and geriatric syndromes. Possible pathophysiological mechanisms of PPG: increased visceral blood flow; weakening of baroreflex function due to disorders associated with age or autonomic dysfunction; inappropriate activation of sympathetic nerves; dysregulation of vasoactive intestinal peptides; insulin-mediated vasodilation. Ask about symptoms of postprandial hypotension and a decrease in systolic blood pressure (BP) of ≥20 mm Hg. Art. 15-60 minutes after eating is of paramount importance for making a diagnosis of PPG. One of the main strategies for preventing PPG is to reduce gastric distension (small meals and more frequent meals), resting on your back after eating, and drinking enough water. Walking after eating also appears to help restore blood pressure after eating. Caution should be exercised when prescribing protein supplements in the elderly, modifying the diet by replacing high-nutrient sweeteners with low-calorie sweeteners (d-xylose, xylitol, erythritol, maltose, maltodextrin, and tagatose). Metformin or acarbose modulates the cardiovascular response in patients with diabetes mellitus and reduces postprandial hypotension. Thus, PPG is a fairly common and clinically significant phenomenon in elderly patients. Increasing the awareness of doctors about pathophysiology and methods of diagnosis and prevention will improve the efficiency and safety of managing geriatric patients. |
| format | Article |
| id | doaj-art-58cb89775de84faba8b4a062aaa8eee5 |
| institution | Kabale University |
| issn | 2226-6704 2411-6564 |
| language | Russian |
| publishDate | 2024-08-01 |
| publisher | SINAPS LLC |
| record_format | Article |
| series | Архивъ внутренней медицины |
| spelling | doaj-art-58cb89775de84faba8b4a062aaa8eee52025-08-20T03:37:15ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642024-08-0114424525010.20514/2226-6704-2024-14-4-245-2501001Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention MeasuresO. N. Antropova0A. A. Efremushkina1Altai State Medical UniversityAltai State Medical UniversityPostprandial hypotension (PPH) is an important but underrecognized condition resulting from an inadequate compensatory cardiovascular response to meal-induced visceral blood pooling. PPG is recognized as an important clinical problem because it has a high prevalence in the older age group and is associated with the development of cardiovascular complications and geriatric syndromes. Possible pathophysiological mechanisms of PPG: increased visceral blood flow; weakening of baroreflex function due to disorders associated with age or autonomic dysfunction; inappropriate activation of sympathetic nerves; dysregulation of vasoactive intestinal peptides; insulin-mediated vasodilation. Ask about symptoms of postprandial hypotension and a decrease in systolic blood pressure (BP) of ≥20 mm Hg. Art. 15-60 minutes after eating is of paramount importance for making a diagnosis of PPG. One of the main strategies for preventing PPG is to reduce gastric distension (small meals and more frequent meals), resting on your back after eating, and drinking enough water. Walking after eating also appears to help restore blood pressure after eating. Caution should be exercised when prescribing protein supplements in the elderly, modifying the diet by replacing high-nutrient sweeteners with low-calorie sweeteners (d-xylose, xylitol, erythritol, maltose, maltodextrin, and tagatose). Metformin or acarbose modulates the cardiovascular response in patients with diabetes mellitus and reduces postprandial hypotension. Thus, PPG is a fairly common and clinically significant phenomenon in elderly patients. Increasing the awareness of doctors about pathophysiology and methods of diagnosis and prevention will improve the efficiency and safety of managing geriatric patients.https://www.medarhive.ru/jour/article/view/1819postprandial hypotensionpathophysiologyelderly patientprevention of falls |
| spellingShingle | O. N. Antropova A. A. Efremushkina Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures Архивъ внутренней медицины postprandial hypotension pathophysiology elderly patient prevention of falls |
| title | Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures |
| title_full | Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures |
| title_fullStr | Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures |
| title_full_unstemmed | Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures |
| title_short | Postprandial Hypotension in Elderly Patients: Pathophysiology, Diagnosis and Prevention Measures |
| title_sort | postprandial hypotension in elderly patients pathophysiology diagnosis and prevention measures |
| topic | postprandial hypotension pathophysiology elderly patient prevention of falls |
| url | https://www.medarhive.ru/jour/article/view/1819 |
| work_keys_str_mv | AT onantropova postprandialhypotensioninelderlypatientspathophysiologydiagnosisandpreventionmeasures AT aaefremushkina postprandialhypotensioninelderlypatientspathophysiologydiagnosisandpreventionmeasures |