post prandial hypotension, orthostatic hypotension

Question 1

postprandial hypotension

Answer 1

> 20 mmHg decrease in SBP within 2 hrs after eating a meal.

Seen in elderly pts

Mechanism is unclear but likely related to pooling in the gut

Question 2

postprandial dizziness, syncope, falls, and agina

Answer 2

symptoms of post prandial hypotension

Question 3

what worsens postprandial hypotension

Answer 3

salt and water depletion and BP medications

Question 4

how to improve post prandial hypotension?

Answer 4

smaller and more frequent meals
low carb meals
increased salt and water intake
avoidance of alcohol
custom fit compression stockings
avoidance of activities or sudden standing immediately following mels

Question 5

medication for post prandial hypotension

Answer 5

only for severe symptomatic pts

try octreotide as it can increase splanchnic vascular resistance and reduces pooling of blood in gut.

Question 6

balance training exercises are helpful for

Answer 6

orthostatic hypotension pts but not postprandial hypotension pts