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The report by Weiss et al¹ focused on the prevalence and consistency of orthostatic hypotension (OH) in elderly patients during the day. They performed orthostatic blood pressure (BP) measurements 3 times a day, 30 minutes after meals. The authors wonder whether OH is a consistent finding in the acute geriatric ward. Although we agree that OH is a very common finding in geriatric patients, we have serious doubts if Weiss et al measured only OH. It is more likely that they have measured a combined BP effect of meals (postprandial hypotension [PPH]) and postural changes.

Jansen et al² found that PPH in the elderly is almost immediately present after ingesting a meal. In 70% of the patients the maximum postprandial decline in BP occurs between 30 and 60 minutes.² In 13% to 17% of the patients, systolic BP nadirs reaches its maximum before 15 minutes after eating and in 11% . . . [Full Text of this Article]

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