title: [Postprandial hypotension: an unclear clinical entity].
abstract: Postprandial hypotension (PPH) is a clinical entity considered to affect above all elderly people with hypertension. It is equally common in diastolic heart failure, Parkinson's disease, diabetes mellitus and autonomic dysfunction. Diagnosis is based on a minimum of 20 mmHg drop of the systolic blood pressure oron a symptomatic systolic blood pressure decrease within 2 hours of the meal. Post-prandial dizziness, fatigue, syncope and falls must raise suspicion for this entity. Although more frequent than orthostatic hypotension, PPH is less searched for. Socio-economical repercussions associated to falls require a better screening of PPH in hospital and ambulatory conditions.
authors.affiliation: Service de gériatrie, Département de rehabilitation et gériatrie, Hôpital de gériatrie, HUG, 1211 Genève 14. samaras-dimitrios@diogenes.hcuge.ch
authors.forename: D
authors.initials: D
authors.lastname: Samaras
authors.forename: G
authors.initials: G
authors.lastname: Carmona
authors.forename: U
authors.initials: U
authors.lastname: Vischer
authors.forename: J J
authors.initials: JJ
authors.lastname: Perrenoud
mesh_terms: D006801:Humans; D007022:Hypotension / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D019518:Postprandial Period