title: Autonomic failure with postprandial hypotension: case report.
abstract: A case of severe symptomatic postprandial hypotension associated with idiopathic autonomic neuropathy and endogenous hyperinsulinaemia is described. The possible mechanisms of the blood pressure changes are discussed. Attempts at treatment included dietary change; the use of vasodilators with salt and fludrocortisone; elastic stockings, antigravity suit; diazoxide and bromocriptine.
mesh_terms: D000368:Aged; D001342:Autonomic Nervous System Diseases / Q000150:complications*; D001794:Blood Pressure / Q000187:drug effects; D003020:Clothing; D004435:Eating; D005438:Fludrocortisone / Q000627:therapeutic use; D005947:Glucose / Q000627:therapeutic use; D005951:Glucose Tolerance Test; D005676:Gravity Suits; D006801:Humans; D006946:Hyperinsulinism / Q000097:blood / Q000150:complications; D007024:Hypotension, Orthostatic / Q000178:diet therapy / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D011674:Pulse / Q000187:drug effects; D012965:Sodium Chloride / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D012965:Sodium Chloride; D005947:Glucose; D005438:Fludrocortisone