Skip to main content

Postprandial Hypotension

  • Chapter
  • First Online:
Hypotensive Syndromes in Geriatric Patients

Abstract

Postprandial hypotension (PPH) is frequently unrecognized in older adults. Although already common in healthy older adults, its prevalence is significantly increased in hospitalized and nursing home patients. Most subjects are asymptomatic. However, PPH is an independent risk factor for falls, cardiovascular events, ischemic brain disease, and mortality. Both non-pharmacological and pharmacological measures may help in the management of PPH.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lipsitz LA, Nyquist RP Jr, Wei JY, et al. Postprandial reduction in blood pressure in the elderly. N Engl J Med. 1983;309:81–3.

    Article  CAS  PubMed  Google Scholar 

  2. Jansen RW, Lipsitz LA. Postprandial hypotension: epidemiology, pathophysiology and clinical management. Ann Intern Med. 1995;122:286–95.

    Article  CAS  PubMed  Google Scholar 

  3. Luciano GL, Brennan MJ, Rothberg MB. Postprandial hypotension. Am J Med. 2010;123:2811e–6e.

    Article  Google Scholar 

  4. Wieling W, Schatz IJ. The consensus statement on the definition of orthostatic hypotension: a revisit after 13 years. J Hypertens. 2009;27(5):935–8.

    Article  CAS  PubMed  Google Scholar 

  5. Jansen RW, Connelly CM, Kelly-Gagnon MM, et al. Postprandial hypotension in elderly patients with unexplained syncope. Arch Intern Med. 1995;155:945–52.

    Article  CAS  PubMed  Google Scholar 

  6. Trahair LG, Horowitz M, Jones KL. Postprandial hypotension: a systematic review. J Am Med Dir Assoc. 2014;15(6):394–409.

    Article  PubMed  Google Scholar 

  7. Trahair LG, Horowitz M, Jones KL. Postprandial hypotension is associated with more rapid gastric emptying in healthy older individuals. J Am Med Dir Assoc. 2015;16(6):521–3.

    Article  PubMed  Google Scholar 

  8. Trahair LG, Kimber TE, Flabouris K, et al. Gastric emptying, postprandial blood pressure, glycaemia and splanchnic flow in Parkinson’s disease. World J Gastroenterol. 2016;22(20):4860–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Jones KL, Tonkin A, Horowitz M, Wishart JM, Carney BI, Guha S, et al. Rate of gastric emptying is a determinant of postprandial hypotension in non-insulindependent diabetes mellitus. Clin Sci (Lond). 1998;94:65e70.

    Article  Google Scholar 

  10. Sherman RA, Torres F, Cody RP. Postprandial blood pressure changes during hemodialysis. Am J Kidney Dis. 1988;12:37e9.

    Article  Google Scholar 

  11. Nguyen TAN, Ali Abdelhamid Y, Weinel LM, Hatzinikolas S, Kar P, Summers MJ, Phillips LK, Horowitz M, Jones KL, Deane AM. Postprandial hypotension in older survivors of critical illness. J Crit Care. 2018;45:20–6.

    Article  PubMed  Google Scholar 

  12. Vloet LC, Pel-Little RE, Jansen PA, et al. High prevalence of postprandial and orthostatic hypotension among geriatric patients admitted to Dutch hospitals. J Gerontological A Biol Sci Med Sci. 2005;60:1271–7.

    Article  Google Scholar 

  13. Aronow WS, Ahn C. Postprandial hypotension in 499 elderly persons in a long-term healthcare facility. J Am Geriatr Soc. 1994;42:930–2.

    Article  CAS  PubMed  Google Scholar 

  14. Vaitkeviclus PV, Esserwein DM, Maynard AK, et al. Frequency and importance of postprandial blood pressure reduction in elderly nursing home patients. Ann Intern Med. 1991;115:865–70.

    Article  Google Scholar 

  15. Luciano GL, Brennan MJ, Rothberg MB. Postprandial hypotension. Am J Med. 2010;123:281.e1–6.

    Article  Google Scholar 

  16. Sasaki E, Kitaoka H, Ohsawa N. Postprandial hypotension in patients with Non insulin-dependent diabetes mellitus. Diabetes Res Clin Pract. 1992;18:113e121.

    Google Scholar 

  17. Micieli G, Martignoni E, Cavallini A, et al. Postprandial and orthostatic hypotension in Parkinson’s disease. Neurology. 1987;37:386e393.

    Article  Google Scholar 

  18. Loew F, Gauthey L, Koerffy A, et al. Postprandial hypotension and orthostatic blood pressure responses in elderly Parkinson’s disease patients. J Hypertens. 1995;13:1291e1297.

    Article  Google Scholar 

  19. Chaudhuri KR, Ellis C, Love-Jones S, et al. Postprandial hypotension and parkinsonian state in Parkinson’s disease. Mov Disord. 1997;12:877e884.

    Article  Google Scholar 

  20. Baliga RR, Catz AB, Watson LD, et al. Cardiovascular and hormonal responses to food ingestion in humans with spinal cord transection. Clin Auton Res. 1997;7:137e141.

    Article  Google Scholar 

  21. Catz A, Bluvshtein V, Pinhas I, et al. Hemodynamic effects of liquid food ingestion in mid-thoracic paraplegia: is supine postprandial hypotension related to thoracic spinal cord damage? Spinal Cord. 2007;45:96e103.

    Google Scholar 

  22. Idiaquez J, Rios L, Sandoval E. Postprandial hypotension in Alzheimer’s disease. Clin Auton Res. 1997;7:119e120.

    Article  Google Scholar 

  23. Cornyn JW, Massie BM, Unverferth DV, Leier CV. Hemodynamics changes after meals and placebo treatment in chronic congestive heart failure. Am J Cardio/. 1986;57:238–41.

    Article  CAS  Google Scholar 

  24. Masuo K, Mikami H, Habara N, Ogihara T. Orthostatic and postprandial blood pressure reduction in patients with essential hypertension. Clin Exp Pharmacol Physiol. 1991;18:155–61.

    Article  CAS  PubMed  Google Scholar 

  25. Masuo K, Mikami H, Habara N, Ogihara T. The mechanisms of postprandial blood pressure reduction in elderly patients with essential hypertension. Eur JGerontol. 1993;2:13–9.

    Google Scholar 

  26. Jansen RW, Lenders JW, Thien T, Hoefnagels WH. Antihypertensive treatment and postprandial blood pressure reduction in the elderly. Gerontology. 1987;32:363–8.

    Article  Google Scholar 

  27. Mitro P, Feterik K, Cverckova A, Trejbal D. Occurrence and relevance of postprandial hypotension in patients with essential hypertension. Wien Klin Wochenschr. 1999;111:320–5.

    CAS  PubMed  Google Scholar 

  28. Staneczek O, Abbas-Terki N, Loew F, Sieber CC. A full stomach but an empty head. J Am Geriatr Soc. 2001;49:1262–3.

    Article  CAS  PubMed  Google Scholar 

  29. Kearney MT, Cowley AJ, Stubbs TA, et al. Depressor action of insulin on skeletal muscle vasculature: a novel mechanism for postprandial hypotension in the elderly. J Am Coll Cardiol. 1998;31:209–16.

    Article  CAS  PubMed  Google Scholar 

  30. Aronow WS, Ahn C. Postprandial hypotension in 499 elderly persons in a long-term health care facility. J Am Geriatr Soc. 1994;42:930–2.

    Article  CAS  PubMed  Google Scholar 

  31. Teramoto S, Akishita M, Fukuchi Y, et al. Assessment of autonomic nervous function in elderly subjects with or without postprandial hypotension. Hypertens Res. 1997;20:257–26.

    Article  CAS  PubMed  Google Scholar 

  32. Kawaguchi R, Nomura M, Miyajima H, et al. Postprandial hypotension in elderly subjects: spectral analysis of heart rate variability and electrogastrograms. J Gastroenterol. 2002;37:87–93.

    Article  PubMed  Google Scholar 

  33. van Orshoven NP, Oey PL, van Schelven LJ, Roelofs JMM, Jansen PAF, Akkermans LMA. Effect of gastric distension on cardiovascular parameters: gastrovascular reflex is attenuated in the elderly. J Physiol. 2004;555(2):573–83.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  34. Tanakaya M, Takahashi N, Takeuchi K, et al. Postprandial hypotension due to a lack of sympathetic compensation in patients with diabetes mellitus. Acta Med Okayama. 2007;61:191–7.

    PubMed  Google Scholar 

  35. Lagro J, Meel-van den Abeelen A, de Jong DL, et al. Geriatric hypotensive syndromes are not explained by cardiovascular autonomic dysfunction alone. J Gerontol A Biol Sci Med Sci. 2012;68:581–9.

    Article  PubMed  CAS  Google Scholar 

  36. Mathias CJ, da Costa DF, Fosbraey P, et al. Cardiovascular, biochemical and hormonal changes during food-induced hypotension in chronic autonomic failure. J Neurol Sci. 1989;94:255–69.

    Article  CAS  PubMed  Google Scholar 

  37. Bremholm L, Hornum M, Henriksen BM, et al. Glucagon-like peptide-2 increases mesenteric blood flow in humans. Scand J Gastroenterol. 2009;44:314–9.

    Article  CAS  PubMed  Google Scholar 

  38. Edwards BJ, Perry HMIII, Kaiser FE, et al. Relationship of age and calcitonin gene-related peptide to postprandial hypotension. Mech Ageing Dev. 1996;87:61–73.

    Article  CAS  PubMed  Google Scholar 

  39. Tumilero S, Gallo L, Foss MC, et al. Role of bradykinin in postprandial hypotension in humans. Braz J Med Bio Res. 1999;32:777–81.

    Article  CAS  Google Scholar 

  40. Gentilcore D, Meyer JH, Rayner CK, et al. Gastric distension attenuates the hypotensive effect of intraduodenal glucose in healthy older subjects. Am J Physiol Regul Integr Comp Physiol. 2008;295:R472–7.

    Article  CAS  PubMed  Google Scholar 

  41. Jones KL, O’Donovan D, Russo A, et al. Effects of drink volume and glucose load on gastric emptying and postprandial blood pressure in healthy older subjects. Am J Physiol Gastrointest Liver Physiol. 2005;289:G240–8.

    Article  CAS  PubMed  Google Scholar 

  42. Horowitz M, Maddern GJ, Chatterton BE, et al. Changes in gastric emptying rates with age. Clin Sci (Lond). 1984;67:213–8.

    Article  CAS  Google Scholar 

  43. Jones KL, Tonkin A, Horowitz M, et al. Rate of gastric emptying is a determinant of postprandial hypotension in noninsulin-dependent diabetes mellitus. Clin Sci (Lond). 1998;94:65–70.

    Article  CAS  Google Scholar 

  44. Thomaides T, Karapanayiotides T, Zoukos Y, et al. Gastric emptying after semisolid food in multiple system atrophy and Parkinson disease. J Neurol. 2005;252:1055–9.

    Article  CAS  PubMed  Google Scholar 

  45. Vanis L, Gentilcore D, Hausken T, et al. Effects of gastric distension on blood pressure and superior mesenteric artery blood flow responses to intraduodenal glucose in healthy older subjects. Am J Physiol Regul Integr Comp Physiol. 2010;299:R960–7.

    Article  CAS  PubMed  Google Scholar 

  46. Visvanathan R, Horowitz M, Chapman I. The hypotensive response to oral fat is comparable but slower compared with carbohydrate in healthy elderly subjects. Br J Nutr. 2006;95:340–5.

    Article  CAS  PubMed  Google Scholar 

  47. Schmidt H, Muller-Werdan U, Hoffmann T, et al. Autonomic dysfunction predicts mortality in patients with multiple organ dysfunction syndrome of different age groups. Crit Care Med. 2005;33(9):1994–2002.

    Article  PubMed  Google Scholar 

  48. Kar P, Jones KL, Horowitz M, et al. Measurement of gastric emptying in the critically ill. Clin Nutr. 2015;34(4):557–64.

    Article  PubMed  Google Scholar 

  49. Barochiner J, Alfie J, Aparicio L, Cuffaro P, Rada M, Morales M, et al. Postprandial hypotension detected through home blood pressure monitoring: a frequent phenomenon in elderly hypertensive patients. Hypertens Res. 2014;37:438–43.

    Article  PubMed  Google Scholar 

  50. Kohara K, Uemura K, Takata Y, et al. Postprandial hypotension: evaluation by ambulatory blood pressure monitoring. Am J Hypertens. 1998;11:1358–63.

    Article  CAS  PubMed  Google Scholar 

  51. Puisieux F, Bulckaen H, Fauchais AL, Drumez S, Salomez-Granier F, Dewailly P. Ambulatory blood pressure monitoring and postprandial hypotension in elderly persons with falls or syncopes. J Gerontol A. 2000;55(9):M535–40.

    Article  CAS  Google Scholar 

  52. Puisieux F, Court D, Baheau F, et al. Intraindividual reproducibility of post-prandial hypotension. Gerontology. 2002;48:315–20.

    Article  PubMed  Google Scholar 

  53. Abbas R, Tanguy A, Bonnet-Zamponi D, Djedid R, Lounis A, Gaubert-Dahan ML. New simplified screening method for postprandial hypotension in older people. J Frailty Aging. 2018;7(1):28–33.

    CAS  PubMed  Google Scholar 

  54. Vloet LC, Pel-Littel RE, Jansen PA, Jansen RWMM. High prevalence of postprandial and orthostatic hypotension among geriatric patients admitted to Dutch hospitals. J Gerontol A Biol Sci Med Sci. 2005;60A:1271–7.

    Article  Google Scholar 

  55. Tabara Y, Okada Y, Uetani E, Nagai T, Igase M, Kido T, et al. Postprandial hypotension as a risk marker for asymptomatic lacunar infarction. J Hypertens. 2014;32:1084–90.

    Article  CAS  PubMed  Google Scholar 

  56. Kohara K, Jiang Y, Igase M, Takata Y, Fukuoka T, Okura T, et al. Postprandial hypotension is associated with asymptomatic cerebrovascular damage in essential hypertensive patients. Hypertension. 1999;33:565–8.

    Article  CAS  PubMed  Google Scholar 

  57. Pulsieux F, Bulckaen FAL, et al. Ambulatory blood pressure monitoring and postprandial hypotension in elderly persons with falls or syncopes. J Gerontol A Biol Sci Med Sci. 2000;. 55A;55:M535–40.

    Article  Google Scholar 

  58. Aronow WS, Ahn C. Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29- months follow-up in 499 older nursing home residents. J Am Geriatr Soc. 1997;45:1051–3.

    Article  CAS  PubMed  Google Scholar 

  59. Fisher AA, Davis MW, Srikusalanukul W, et al. Postprandial hypotension predicts all- cause mortality in older, low- level care residents. J Am Ger Soc. 2005;53:1313–20.

    Article  Google Scholar 

  60. Zanasi A, Tincani E, Evandri V, Giovanardi P, Bertolotti M, Rioli G. Meal induced blood pressure variation and cardiovascular mortality in ambulatory hypertensive elderly patients: preliminary results. J Hypertens. 2012;30:2125–32.

    Article  CAS  PubMed  Google Scholar 

  61. Brun JF, Fedou C, Mercier J. Postprandial reactive hypoglycemia. Diabetes Metab. 2000;26:337.

    CAS  PubMed  Google Scholar 

  62. Vloet LC, Pel-Little RE, Jansen PA, Jansen RW. High prevalence of postprandial and orthostatic hypotension among geriatric patients admitted to Dutch hospitals. J Gerontol A Biol Sci Med Sci. 2005 Oct;60(10):1271–7.

    Article  PubMed  Google Scholar 

  63. Tamura N. Orthostatic hypotension and postprandial hypotension. Rinsho Shinkeigaku. 1996 Dec;36(12):1349–51.

    CAS  PubMed  Google Scholar 

  64. Jansen RWMM, Kelley-Gagnon MM, Lipsitz LA. Intraindividual reproducibility of postprandial and orthostatic blood pressure changes in older nursing-home patients: relationship with chronic use of cardiovascular medications. J Am Geriatr Soc. 1996;44:383–9.

    Article  CAS  PubMed  Google Scholar 

  65. Jansen RW, Hoefnagels WH. Postprandial blood pressure reduction. Neth J Med. 1990;37:80–8.

    CAS  PubMed  Google Scholar 

  66. Son JT, Lee E. Effect of water drinking on the postprandial fall of blood pressure in the elderly. J Korean Acad Fundam Nurs. 2010;17(3):304–13.

    Google Scholar 

  67. Vloet LC, Smits R, Jansen RW. The effect of meals at different mealtimes on blood pressure and symptoms in geriatric patients with postprandial hypotension. J Gerontol A Biol Sci Med Sci. 2003;58(11):1031–5.

    Article  PubMed  Google Scholar 

  68. Kuipers HM, Jansen RW, Peeters TL, Hoefnalgels WH. The influence of food temperature on postprandial blood pressure reduction and its relation to substance-P in healthy elderly subjects. J Am Geriatr Soc. 1991;39(2):181–4.

    Article  CAS  PubMed  Google Scholar 

  69. Vloet LC, Mehagnoul-Schipper DJ, Hoefnagels WHL, Jansen RWMM. The influence of low-, normal-, and high-carbohydrate meals on blood pressure in elderly patients with postprandial hypotension. J Gerontol A Biol Sci Med Sci. 2001.;56A;56:M744–8.

    Article  CAS  PubMed  Google Scholar 

  70. Rakic V, Beilin IJ, Burke V. Effect of coffee and tea drinking on postprandial hypotension in older men and women. Clin Exp Pharmacol Physiol. 1996;23:559–63.

    Article  CAS  PubMed  Google Scholar 

  71. Nair S, Visvanathan R, Gentilcore D. Intermittent walking: a potential treatment for older people with postprandial hypotension. JAMDA. 2015;16:160e–4e.

    Google Scholar 

  72. Puvi-Rajasingham S, Smith GDP, Akinola A, Mathias CJ. Hypotensive and regional haemodyanamic effects of exercise, fasted and after food, in human sympathetic denervation. Clin Sci (Lond). 1998;94:49–55.

    Article  CAS  Google Scholar 

  73. Alagiakrishnan K. Drugs Aging. 2015;32(5):337–48.

    Article  CAS  PubMed  Google Scholar 

  74. Robertson D, Frolich JC, Carr RK, et al. Effects of caffeine on plasma renin activity, catecholamines and blood pressure. N Engl J Med. 1978;298:181–6.

    Article  CAS  PubMed  Google Scholar 

  75. Lipsitz LA, Jansen RW, Connelly CM, et al. Haemodynamic and neurohumoral effects of caffeine in elderly patients with symptomatic postprandial hypotension: a double-blind, randomized, placebo-controlled study. Clin Sci (Lond). 1994;87:259–67.

    Article  CAS  Google Scholar 

  76. Jansen RWMM, Peeters TL, Lenders JWM, et al. Somtostatin analog octreotide (SMS 201–995) prevents the decrease in blood pressure after oral glucose loading in the elderly. J Clin Endocrinol Metab. 1989;68:752–6.

    Article  CAS  PubMed  Google Scholar 

  77. Jansen RWMM, Lenders JWM, Peeters TL, et al. SMS 201–995 prevents postprandial blood pressure reduction in normotensive and hypertensive elderly subjects. J Hypertens. 1988;. S6;6:S669–72.

    Article  CAS  Google Scholar 

  78. Alam M, Smith G, Bleasdale- Barr K, et al. Effects of the peptide release inhibitor, octreotide on daytime hypotension and on nocturnal hypertension in primary autonomic failure. J Hypertens. 1995;13:1664–9.

    CAS  PubMed  Google Scholar 

  79. Gentilcore D, Bryant B, Wishart JM, et al. Acarbose attenuates the hypotensive response to sucrose and slows gastric emptying in the elderly. Am J Med. 2005;118:1289.

    Article  PubMed  Google Scholar 

  80. Maruta T, Komai K, Takamori M, Yamada M. Voglibose inhibits postprandial hypotemnsion in neurological disorders and elderly people. Neurology. 2006;66:1432–4.

    Article  CAS  PubMed  Google Scholar 

  81. Shibao C, Gamboa A, Diedrich A, et al. Acarbose, an alpha-glucosidase inhibitor attenuates postprandial hypotension in autonomic failure. Hypertension. 2007;50:54–61.

    Article  CAS  PubMed  Google Scholar 

  82. Jian ZJ, Zhou BV. Efficacy and safety of acarbose in the treatment of elderly patients with postprandial hypotension. Chin Med J. 2008;121:2054–9.

    Article  PubMed  Google Scholar 

  83. Freeman B, Young J, Landsberg L, Lipsitz L. The treatment of postprandial hypotension in autonomic failure with DL-threo dihydroxy phenyl serine. Neurology. 1996;47:1414–20.

    Article  CAS  PubMed  Google Scholar 

  84. Jones KL, Macintosh C, Su YC, Wells F, Chapman IM, Tonkin A, Horowitz M. Guar gum reduces post prandial hypotension in older people. J Am Geriatr Soc. 2001;49(2):162–7.

    Article  CAS  PubMed  Google Scholar 

  85. Russo A, Stevens JE, Wilson T, Wells F, Tonkin A, Horowitz M, Jones KL. Guar attenuates fall in postprandial blood pressure and slows gastric emptying of oral glucose in type 2 diabetes. Dig Dis Sci. 2003;48(7):1221–9.

    Article  CAS  PubMed  Google Scholar 

  86. Saito Y, Ishikawa J, Harada K. Postprandial and orthostatic hypotension treated by Sitagliptin in a patient with dementia with Lewy bodies. Am J Case Rep. 2016;17:887–93.

    Article  PubMed  PubMed Central  Google Scholar 

  87. Yonenaga A, Ota H, Honda M, et al. Marked improvement of elderly postprandial hypotension by dipeptidyl peptidase IV inhibitor. Geriatr Gerontol Int. 2013;13:227–9.

    Article  PubMed  Google Scholar 

  88. Alagiakrishnan K. Postural and postprandial hypotension: approach to management. Geriatr Aging. 2007;10(5):298–304.

    Google Scholar 

  89. 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.

    CAS  PubMed  Google Scholar 

  90. 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.

    Article  CAS  PubMed  Google Scholar 

  91. Alfie J. Utility of home blood pressure monitoring to evaluate postprandial blood pressure in treated hypertensive patients. Ther Adv Cardiovasc Dis. 2015;9(4):133–9.

    Article  CAS  PubMed  Google Scholar 

  92. Sasaki E, Goda K, Nagata K, et al. Acarbose improved severe postprandial hypotension in patient with diabetes mellitus. J Diabetes Complicat. 2001;15:158–61.

    Article  CAS  Google Scholar 

  93. Loew F, Gauthey L, Koerffy A, Herrmann FR, Estade M, Michel JP, et al. Postprandial hypotension and orthostatic blood pressure responses in elderly Parkinson’s disease patients. J Hypertens. 1995;13:1291e7.

    Article  Google Scholar 

  94. Chaudhuri KR, Ellis C, Love-Jones S, Thomaides T, Clift S, Mathias CJ, et al. Postprandial hypotension and parkinsonian state in Parkinson’s disease. Mov Disord. 1997;12:877–84.

    Article  CAS  PubMed  Google Scholar 

  95. Umehara T, Nakahara A, Matsuno H, Toyoda C, Oka H. Predictors of postprandial hypotension in elderly patients with de novo Parkinson’s disease. J Neural Transm (Vienna). 2016;123(11):1331–9.

    Article  Google Scholar 

  96. Fukushima T, Asahina M, Fujinuma Y, et al. Role of intestinal peptides and the autonomic nervous system in post prandial hypotension in patients with multiple system atrophy. J Neurol. 2012;260:475–81.

    Article  PubMed  Google Scholar 

  97. https://doi.org/10.1016/0165-1838(93)90315-L.

    Article  CAS  PubMed  Google Scholar 

  98. Tazikawa T, Shibata M, Hiraide T. Possible involvement of hypotension in postprandial headache: a case series. Headache. 2017;57:1443–8.

    Article  Google Scholar 

  99. Maurer MS, Karmally W, Rivadeneira H, Parides MK, Bloomfield DM. Upright posture and postprandial hypotension in elderly persons. Ann Intern Med. 2000;133:533–6.

    Article  CAS  PubMed  Google Scholar 

  100. Le Couteur DG, Fisher AA, Davis MW, McLean AJ. Postprandial systolic blood pressure responses of older people in residential care: association with risk of falling. Gerontology. 2003;49:260–4.

    Article  PubMed  Google Scholar 

  101. Lipsitz LA, Pluchino FC, Wie JY, Rowe JW. Syncope in institutionalized elderly: the impact of multiple pathological conditions and situational stress. J Chronic Dis. 1986;39:619–30.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Alagiakrishnan, K., Mah, D. (2020). Postprandial Hypotension. In: Alagiakrishnan, K., Banach, M. (eds) Hypotensive Syndromes in Geriatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-30332-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-30332-7_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-30331-0

  • Online ISBN: 978-3-030-30332-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics