[Orthostatic hypotension in the elderly].
Orthostatic hypotension is observed in 10 to 20% of all patients aged 65 or over. The elderly is thus at an elevated risk for orthostatic hypotension; however, the relative contributions of normal ageing, of diseases and their respective treatments to its development are unknown. Orthostatic hypotension discovered by chance in a symptomatic or asymptomatic elderly patient has to be considered as risk for falls or syncopes. The most common reversible causes are side effects of various drugs and hypovolemia. Next to a specific therapy of the underlying causes, symptomatic measures are proposed. Pharmacotherapy is limited to patients incapacitated by symptoms.
Büla
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Unité de gériatrie, CHUV, Lausanne.
D000058:Accidental Falls; D000368:Aged; D000375:Aging / Q000502:physiology*; D003131:Combined Modality Therapy; D064420:Drug-Related Side Effects and Adverse Reactions; D006801:Humans; D007024:Hypotension, Orthostatic / Q000150:complications / Q000503:physiopathology* / Q000628:therapy; D012307:Risk Factors; D013575:Syncope / Q000209:etiology; D014883:Water-Electrolyte Imbalance / Q000503:physiopathology
Hypotension orthostatique chez la personne ágée.