Abstract
Postprandial hypotension is an important clinical problem. 1 Mathias C.J. Postprandial hypotension. Pathophysiological mechanisms and clinical implications in different disorders. Hypertension. 1991; 18: 694-704 Crossref PubMed Scopus (88) Google Scholar , 2 Jansen R.W. Lipsitz L.A. Postprandial hypotension epidemiology, pathophysiology, and clinical management. Ann Intern Med. 1995; 122: 286-295 Crossref PubMed Scopus (349) Google Scholar Those most commonly affected include the elderly and patients with autonomic dysfunction, most often secondary to diabetes. 1 Mathias C.J. Postprandial hypotension. Pathophysiological mechanisms and clinical implications in different disorders. Hypertension. 1991; 18: 694-704 Crossref PubMed Scopus (88) Google Scholar , 2 Jansen R.W. Lipsitz L.A. Postprandial hypotension epidemiology, pathophysiology, and clinical management. Ann Intern Med. 1995; 122: 286-295 Crossref PubMed Scopus (349) Google Scholar Postprandial hypotension is associated with significant complications, including syncope, falls, and cerebrovascular accidents. 2 Jansen R.W. Lipsitz L.A. Postprandial hypotension epidemiology, pathophysiology, and clinical management. Ann Intern Med. 1995; 122: 286-295 Crossref PubMed Scopus (349) Google Scholar , 3 Aronow W.S. Ahn C. Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents. J Am Geriatr Soc. 1997; 45: 1051-1053 Crossref PubMed Scopus (134) Google Scholar Current approaches to management are sub-optimal. 2 Jansen R.W. Lipsitz L.A. Postprandial hypotension epidemiology, pathophysiology, and clinical management. Ann Intern Med. 1995; 122: 286-295 Crossref PubMed Scopus (349) Google Scholar
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