Abstract
In this chapter discussion about the hypotensive syndromes associated with hypertension is done. An outline about the pathophysiology of these two conditions and the management of these conditions are seen. Management of hypotension syndromes in hypertensive subjects are quite challenging.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Di Stefano C, Milazzo V, Totaro S, et al. Orthostatic hypotension in a cohort of hypertensive patients referring to a hypertension clinic. J Hum Hypertens. 2015;29:599–603.
Kamaruzzaman S, Watt H, Carson C, et al. The association between orthostatic hypotension and medication use in the British Women’s Heart and Health Study. Age Ageing. 2010;39:51–6.
Gangavati A, Hajjar I, Quach L, et al. Hypertension, orthostatic hypotension, and the risk of falls in a community-dwelling elderly population: the maintenance of balance, independent living, intellect, and zest in the elderly of Boston study. J Am Geriatr Soc. 2011;59:383–9.
Canney M, O’Connell MD, Murphy CM, et al. Single agent antihypertensive therapy and orthostatic blood pressure behaviour in older adults using beat-to-beat measurements: the Irish Longitudinal Study on Ageing. PLoS One. 2016;11:e0146156.
Saez T, Suarez C, Sierra MJ, et al. Orthostatic hypotension in the aged and its association with antihypertensive treatment. Med Clin (Barc). 2000;114:525–9.
Jordan J, Shannon JR, Pohar B, et al. Contrasting effects of vasodilators on blood pressure and sodium balance in the hypertension of autonomic failure. J Am Soc Nephrol. 1999;10:35–42.
Jones PK, Shaw BH, Raj SR. Orthostatic hypotension: managing a difficult problem. Expert Rev Cardiovasc Ther. 2015;13:1263–76.
Patel H, Simpson A, Palevoda G, Hale GM. Evaluating the effectiveness of atomoxetine for the treatment of primary orthostatic hypotension in adults. J Clin Hypertens. 2018;20:794–7.
Masuo K, Mikami H, Ogihara T, et al. Changes in frequency of orthostatic hypotension in elderly hypertensive patients under medications. Am J Hypertens. 1996;9:263–8.
Hajjar I. Postural blood pressure changes and orthostatic hypotension in the elderly patient: impact of antihypertensive medications. Drugs Aging. 2006;22:55–68.
Pearce CJ, Wallin JD. Labetalol and other agents that block both alpha and beta-adrenergic receptors. Cleve Clin J Med. 1994;61(1):59–69.
Slavachevsky I, Rachmani R, Levi Z, et al. Effect of enalapril and nifedipine on orthostatic hypotension in older hypertensive patients. J Am Geriatr Soc. 2000;48(7):807–10.
Mitro P, Feterik K, Cverckova A, et al. Occurrence and relevance of postprandial hypotension in patients with essential hypertension. Wien Klin Wochenschr. 1999;111:320–5.
Grodzicki T, Rajzer M, Fagard R, et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly patients with isolated systolic hypertension. J Hum Hypertens. 1998;12:161–5.
Kohara K, Jiang Y. Postprandial hypotension is associated with asymptomatic cerebrovascular damage in essential hypertensive patients. Hypertension. 1999;33:565–8.
Zhang YN, Tl C, Geng X, et al. Clinical observation of postprandial hypotension in patients with hypertensive and coronary artery disease. Zhonghua Yi Xue Za Zhi. 2018;98(33):2641–4.
Barochiner J, Alfie J, Aparicio L, et al. Postprandial hypotension detected through home blood pressure monitoring: a frequent phenomenon in elderly hypertensive patients. Hypertens Res. 2014;37:438–43.
Alfie J. Utility of home blood pressure monitoring to evaluate postprandial blood pressure in treated hypertensive subjects. Ther Adv Cardiovasc Dis. 2015;9(4):133–9.
Barochiner J, Alfie J, Aparicio LS, et al. Meal induced blood pressure fall in patients with isolated morning hypertension. Clin Exp Hypertens. 2015;37(5):364–8.
Fagan T, Conrad K, Mar J, et al. Effects of meals on hemodynamics: implications for antihypertensive drug studies. Clin Pharmacol Ther. 1986;39:255–60.
Tabara Y, Okada Y, Uetani E, et al. Postprandial hypotension as a risk marker for asymptomatic lacunar infarction. J Hypertens. 2014;32:1084–90.
Zanasi A, Tincani E, Evandri V, et al. Meal induced blood pressure variation and cardiovascular mortality in ambulatory hypertensive elderly patients: preliminary results. J Hypertens. 2012;30:2125–32.
Masuo K, Mikami H, Habara N, et al. Orthostatic and postprandial blood pressure reduction in patients with essential hypertension. Clin Exp Pharmacol Physiol. 1991;18:155–61.
Shimosawa T, Kuwajima I, Suzuki Y, et al. Postprandial hypotension in the elderly with and without hypertension. Nihon Ronen Igakkai Zasshi. 1992;29(9):661–6.
Haigh RA, Harper GD, Burton R, et al. Possible impairment of the sympathetic nervous system response to postprandial hypotension in elderly hypertensive patients. J Hum Hypertens. 1991;5:83–9.
Teunissen-Beekman K, Dopheide J, Geleijnse J, et al. Blood pressure decreases more after high-carbohydrate meals than after high-protein meals in overweight adults with elevated blood pressure, but there is no difference after 4 weeks of consuming a carbohydrate-rich or protein-rich diet. J Nutr. 2013;143:424–9.
Casonatto J, Goessler KF, Cornelissen VA, et al. The blood pressure-lowering effect of a single bout of resistance exercise: a systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol. 2016;23:1700–14.
MacDonald HV, Johnson BT, Huedo-Medina TB, et al. Dynamic resistance training as stand-alone antihypertensive lifestyle therapy: a meta-analysis. J Am Heart Assoc. 2016;5(10) https://doi.org/10.1161/JAHA.116.003231. pii: e003231.
Domingos E, Politio MD. Blood pressure response between resistance exercise with and without blood flow restriction: A systematic review and meta-analysis. Life Sci. 2018;209:122–31.
Fisher JP, Paton JF. The sympathetic nervous system and blood pressure in humans: implications for hypertension. J Hum Hypertens. 2011;26:463–75.
Friedman O, Logan AG. Nocturnal blood pressure profiles among normotensive, controlled hypertensive and refractory hypertensive subjects. Can J Cardiol. 2009;25(9):S312–6.
Fagard R, Thijs L, Staessen JA, et al. Night and day blood pressure ratio and dipping pattern as predictors of death and cardiovascular events in hypertension. J Hum Hypertens. 2009;23:645–53.
Salles GF, Reboldi G, Fagard RH, et al. Prognostic effect of the nocturnal blood pressure fall in hypertensive patients: the ambulatory blood pressure collaboration in patients with hypertension (ABC-H) meta-analysis. Hypertension. 2016;67(4):693–700.
Kario K, Shimada K. Risers and extreme-dippers of nocturnal blood pressure in hypertension: antihypertensive strategy for nocturnal blood pressure. Clin Exp Hypertens. 2004;26(2):177–89.
Fagard RH. Dipping pattern of nocturnal blood pressure in patients with hypertension. Expert Rev Cardiovasc Ther. 2009;7:599–605.
Benetos A, Bulpitt CJ, Petrovic M, et al. An expert opinion from the European society of hypertension-European union geriatric medicine society working group on the management of hypertension in very old, frail subjects. Hypertension. 2016;67:820–5.
O'Brien E, Kario K, Staessen JA, et al. Patterns of ambulatory blood pressure: clinical relevance and application. J Clin Hypertension. 2018;20(7):1112–5.
Fujiwara T, Hoshide S, Yano Y, et al. Comparison of morning vs bedtime administration of the combination of valsartan/amlodipine on nocturnal brachial and central blood pressure in patients with hypertension. J Clin Hypertens (Greenwich). 2017;19:1319–26.
Bowles NP, Thosar SS, Herzig MX, et al. Chronotherapy for hypertension. Curr Hypertens Rep. 2018;20:11.
Hermida RC, Ayala DE, Fontao MJ, et al. Chronotherapy with valsartan/amlodipine fixed combination: improved blood pressure control of essential hypertension with bedtime dosing. Chronobiol Int. 2010;27(6):1287–303.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Alagiakrishnan, K. (2020). Hypertension and Hypotensive Syndromes. In: Alagiakrishnan, K., Banach, M. (eds) Hypotensive Syndromes in Geriatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-30332-7_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-30332-7_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-30331-0
Online ISBN: 978-3-030-30332-7
eBook Packages: MedicineMedicine (R0)