Naslov
Orthostatic hypotension and antihypertensive drugs

Autori
Mišmaš, Antonija ; Bazina, Antonela ; Krbot Škorić, Magdalena ; Ljilja, Anja ; Adamec, Ivan ; Crnošija, Luka ; Habek, Mario

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
European Journal of Neurology / - Berlin, 2015, 223-223

Skup
1st Congress of the European Academy of Neurology

Mjesto i datum
Berlin, Njemačka, 20.06.2015. - 23.06.2015

Vrsta sudjelovanja
Poster

Vrsta recenzije
Podatak o recenziji nije dostupan

Ključne riječi
Orthostatic hypotension and antihypertensive drugs

Sažetak
Background and aims: The aim of this study was to determine how often patients older than 60 years who are diagnosed with orthostatic hypotension (OH) on the tilt- table test are taking antihypertensive medications and what kind. Methods: Medical records from the Autonomic Nervous system Laboratory, University Hospital Center Zagreb, Zagreb, Croatia were retrospectively reviewed in a period from April 2012 to April 2014 to identify patients older than 60 and diagnosed with OH by the tilt-table test. Data on sex, age, presenting symptoms, antihypertensive drugs and outcome were assessed. Results: We identified 55 patients that met inclusion criteria, 33 males (60%), 22 females (40%) ; mean age 70.43±7.79. The most common presenting complaints were transient loss of consciousness (syncope) (56.4%), instability (45.5%) and dizziness (32.7%). Among them 69.1% (N=38) were taking antihypertensive drugs ; 30.9% (N=17) were taking 1 ; 20.0% (N=11) 2 ; 16.4% (N=9) 3 and 1.8% (N=1) 4 antihypertensive medications. Patients were prescribed with angiotensin-converting-enzyme inhibitors in 34.5% ; beta-blockers in 30.9% ; diuretics in 27.3% ; calcium channel blockers 21.8% ; alpha-blockers in 1.8% and other in 10.9% cases. All patients with OH were routinely given advice on antihypertensive drug reduction and dietary measures. Follow-up data were available for 26 (47.2%) patients and 18 (69.2%) reported clinical improvement. Conclusion: Patients over 60 years with OH often take antihypertensive drugs. Identification of the drugs and their reduction could help prevent iatrogenic OH and its complications.

Izvorni jezik
Engleski

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