Postprandial Hypotension: Pathophysiology and Management

  • L. A. Lipsitz
Conference paper


Over the past two decades, postprandial hypotension (PPH) has become recognized as a common problem among elderly people and patients with autonomic insufficiency, Parkinson’s Disease, diabetes mellitus, and renal failure [1]. Defined as a 20 mmHg or greater decline in systolic blood pressure within 2 h of the start of a meal, PPH has been reported to occur in 24% [2] to 36% [3] of nursing-home residents, and in 23% of elderly persons admitted to a geriatric hospital with syncope or falls [4]. Meal-related hypotension is particularly common among elderly people with hypertension and is more prevalent than orthostatic hypotension in the elderly population.


Multiple System Atrophy Ambulatory Blood Pressure Monitoring Muscle Nerve Sympathetic Activity Autonomic Failure Isosorbide Dinitrate 
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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • L. A. Lipsitz
    • 1
  1. 1.Hebrew Rehabilitation Center for AgedBostonUSA

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