 |
|
Hypotensive Responses to Common Daily Activities in Institutionalized ElderlyA Potential Risk for Recurrent Falls
Palmi V. Jonsson, MD;
Lewis A. Lipsitz, MD;
Margaret Kelley, RN;
Julia Koestner, RN
Arch Intern Med. 1990;150(7):1518-1524.
Abstract
• Transient hypotension may be one of many factors contributing to the high prevalence of falls among elderly people. To determine the frequency and magnitude of hypotensive responses to common daily activities, and their potential relationship to falls in the elderly, we examined blood pressure (BP) and heart rate during a standardized series of activities in 38 institutionalized recurrent fallers (age, 87±6 years), 20 institutionalized nonfallers (age, 85±5 years), and 10 healthy young control subjects (age, 24±3 years). The coefficient of variation for systolic BP during all activities was higher in elderly subjects (fallers, 14%±5%; nonfallers, 12%±3%) than in young control subjects (8%±1%). In contrast, the coefficient of variation for heart rate during all activities was higher in young subjects than in the elderly subjects. Elderly subjects had marked BP reduction following meals and nitroglycerin, which was significantly greater in fallers than in nonfallers, independent of the cause of the fall. Thus, institutionalized elderly have marked BP variability and hypotensive responses to meals and nitroglycerin. A decline in BP during common preload-reducing stresses may predispose some elderly people to falls.
(Arch Intern Med. 1990;150:1518-1524)
Author Affiliations
From the Hebrew Rehabilitation Center for the Aged (Drs Jonsson and Lipsitz, Mss Kelley and Koestner), Joint Department of Medicine of Beth Israel and Brigham and Women's Hospitals (Drs Jonsson and Lipsitz), and the Division on Aging, Harvard Medical School (Drs Jonsson and Lipsitz), Boston, Mass. Dr Jonsson is now with the Reykjavik (Iceland) City Hospital.
Footnotes
Accepted for publication February 7,1990.
Presented in part at the Gerontological Society of America Annual Scientific Meeting, San Francisco, Calif, November 1988.
Reprint requests to the Hebrew Rehabilitation Center for the Aged, 1200 Centre St, Boston, MA 02131 (Dr Lipsitz).
 CiteULike  Connotea  Delicious  Digg  Facebook  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
High Prevalence of Postprandial and Orthostatic Hypotension Among Geriatric Patients Admitted to Dutch Hospitals
Vloet et al.
J Gerontol A Biol Sci Med Sci 2005;60:1271-1277.
ABSTRACT
| FULL TEXT
Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
Chobanian et al.
Hypertension 2003;42:1206-1252.
ABSTRACT
| FULL TEXT
Orthostatic Hypotension in Acute Geriatric Ward: Is It a Consistent Finding?
Weiss et al.
Arch Intern Med 2002;162:2369-2374.
ABSTRACT
| FULL TEXT
The Influence of Low-, Normal-, and High-Carbohydrate Meals on Blood Pressure in Elderly Patients With Postprandial Hypotension
Vloet et al.
J Gerontol A Biol Sci Med Sci 2001;56:M744-M748.
ABSTRACT
| FULL TEXT
Lower standing systolic blood pressure as a predictor of falls in the elderly: a community-based prospective study
Kario et al.
J Am Coll Cardiol 2001;38:246-252.
ABSTRACT
| FULL TEXT
Upright Posture and Postprandial Hypotension in Elderly Persons
Maurer et al.
ANN INTERN MED 2000;133:533-536.
ABSTRACT
| FULL TEXT
Autonomic and Neurohumoral Control of Postprandial Blood Pressure in Healthy Aging
Oberman et al.
J Gerontol A Biol Sci Med Sci 2000;55:M477-M483.
ABSTRACT
| FULL TEXT
Furosemide Withdrawal Improves Postprandial Hypotension in Elderly Patients With Heart Failure and Preserved Left Ventricular Systolic Function
van Kraaij et al.
Arch Intern Med 1999;159:1599-1605.
ABSTRACT
| FULL TEXT
Patterns of Orthostatic Blood Pressure Change and Their Clinical Correlates in a Frail, Elderly Population
Ooi et al.
JAMA 1997;277:1299-1304.
ABSTRACT
An 85-Year-Old Woman With a History of Falls
Lipsitz
JAMA 1996;276:59-66.
ABSTRACT
Prevalence, Predisposing Factors, and Prognostic Importance of Postural Hypotension
Raiha et al.
Arch Intern Med 1995;155:930-935.
ABSTRACT
Postprandial Hypotension in Elderly Patients With Unexplained Syncope
Jansen et al.
Arch Intern Med 1995;155:945-952.
ABSTRACT
Frequency and Importance of Postprandial Blood Pressure Reduction in Elderly Nursing-Home Patients
Vaitkevicius et al.
ANN INTERN MED 1991;115:865-870.
ABSTRACT
|
