ORTHOSTATIC HYPOTENSION IN THE ELDERLY – SYSTEMATIC REVIEW
DOI:
https://doi.org/10.58043/rphrc.18Keywords:
Orthostatic Hypotension [C10.177.575.600.450], Elderly [M01.060.116.100], Gender [F01.393.446.250], Risk Factors [E05.318.740.600.800. 725]Abstract
Orthostatic hypotension is characterized as a clinical condition that affects the majority of the senior population and associated with a high risk of mortality and morbidity.
It is characterized by being a direct consequence of physiological changes caused by aging and side effects associated with therapy. The clinical manifestation is related to the fall in blood pressure values after the passage to orthostasis.
This pathology is little studied in the scientific community and underdiagnosed in clinical practice, being absolutely essential, both for health professionals and for the population, that further studies be developed with results that prove the importance of orthostatic hypotension in order to reduce the negative impact that this pathology has on the senior population.
Thus, the aim of this study is to conduct a systematic review of the literature, using articles found on the PubMed platform, using as keywords “Orthostatic Hypotension” AND “Elderly” AND “Gender” AND “Risk Factors”.
Downloads
References
Lopes LS, Mürrer G, Lima NCP, Grizante P, Valente M. Orthostatic hypotension in elderly ambulatory patients. Arq Med ABC. 2007;32(1):17–20.
Romero-Ortuno R, Cogan L, Foran T, Kenny RA, Fan CW. Continuous noninvasive orthostatic blood pressure measurements and their relationship with orthostatic intolerance, falls, and frailty in older people. J Am Geriatr Soc. 2011;59(4):655–65.
Kim N, Park J, Hong H, Kong ID, Kang H. Orthostatic hypotension and health-related quality of life among community-living older people in Korea. Qual Life Res [Internet]. 2019;(0123456789). Available from: https://doi. org/10.1007/s11136-019-02295-6
Clement DL. Low Blood Pressure. e-Journal Cardiol Pract [Internet]. 2019;17. Available from: https://www.escardio. org/Journals/E-Journal-of-Cardiology-Practice/Volume-17/ low-blood-pressure
Biaggioni I, Kaufmann H. Orthostatic Hypotension. Encycl Neurol Sci. 2014;698–700.
Freeman R, Wieling W, Axelrod FB, Benditt DG, Benarroch E, Biaggioni I, et al. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res [Internet]. 2011;21(2):69–72. Available from: http:// dx.doi.org/10.1016/j.autneu.2011.02.004
Xin W, Mi S, Lin Z, Wang H, Wei W. Orthostatic hypotension and the risk of incidental cardiovascular diseases: A meta-analysis of prospective cohort studies. Prev Med (Baltim) [Internet]. 2016;85:90–7. Available from: http:// dx.doi.org/10.1016/j.ypmed.2016.01.007
Frith J,Parry SW.New Horizons in orthostatic hypotension. Age Ageing. 2017;46(2):168–74.
Velten APC, Benseñor I, Souza JB de, Mill JG. Fatores associados à hipotensão ortostática em adultos: estudo ELSA- Brasil. Cad Saude Publica. 2019;35(8):1–12.
Pinheiro S, Barbosa A, Cárdenas C, Silva M, Dutra M. Hipotensão Ortostática E O Risco De Doenças Cardiovasculares Em Idosos: Uma Revisão De Literatura. Rev Pesqui em Fisioter. 2015;5(1):38–42.
Edgell H, Robertson AD, Hughson RL. Hemodynamics and brain blood flow during posture change in younger women and postmenopausal women compared with age- matched men. J Appl Physiol. 2012;112(9):1482–93.
Valente O. Hipotensão Ortostática. In: Manual MSD [Internet]. p. 1712–4. Available from: https:// www.msdmanuals.com/pt-pt/profissional/doenças- cardiovasculares/sintomas-de-doenças-cardiovasculares/ hipotensão-ortostática
Carvalho I, Veríssimo MT, Filipe da Cunha Esperto H. Hipotensão Ortostática-Revisão da Literatura e Prevalência no Idoso. Available from: https://estudogeral. sib.uc.pt/bitstream/10316/36293/1/HIPOTENSÃO ORTOSTÁTICA - Revisão da Literatura e Prevalência no Idoso%2C FMUC%2C 2015%2C Inês Isabel Branco de Carvalho.pdf
Xiaodan Mai, PhD, MBBSa, Michael J. LaMonte, PhD, MPHa, Kathleen M. Hovey, MSa, Jo L. Freudenheim, PhDa, Christopher A. Andrews, PhDb, Robert J. Genco, DDS, PhDc, and Jean Wactawski-Wende P. Relations of arterial stiffness with postural change in mean arterial pressure in middle-aged adults: The Framingham Heart Study. Physiol
Behav. 2017;176(12):139–48.
Townsend RR, Chang TI, Cohen DL, Cushman WC, Evans GW, Glasser SP, et al. Orthostatic changes in systolic blood pressure among SPRINT participants at baseline. J Am Soc Hypertens. 2016;10(11):847–56.
Di Stefano C, Milazzo V, Totaro S, Sobrero G, Ravera A, Milan A, et al. Orthostatic hypotension in a cohort of hypertensive patients referring to a hypertension clinic. J Hum Hypertens. 2015;29(10):599–603.
Hanada M, Tawara Y, Miyazaki T, Sato S, Morimoto Y, Oikawa M, et al. Incidence of orthostatic hypotension and cardiovascular response to postoperative early mobilization in patients undergoing cardiothoracic and abdominal surgery. BMC Surg. 2017;17(1):1–9.
Pezzoli M, Garzaro M, Pecorari G, Canale A, Meistro D, Mangiardi ML, et al. Orthostatic hypotension and psychiatric comorbidities in patients with dizziness. Am J Otolaryngol - Head Neck Med Surg. 2012;33(4):432–6.
Cooke J, Carew S, Quinn C, O’connor M, Curtin J, O’connor C, et al. The prevalence and pathological correlates of orthostatic hypotension and its subtypes when measured using beat-to-beat technology in a sample of older adults living in the community. Age Ageing. 2013;42(6):709–14.
Elmståhl S, Widerström E. Orthostatic intolerance predicts mild cognitive impairment: Incidence of mild cognitive impairment and dementia from the swedish general population cohort good aging in Skåne. Clin Interv Aging. 2014;9:1993–2002.
Agarwal SK, Alonso A, Whelton SP, Soliman EZ, Rose KM, Chamberlain AM, et al. Orthostatic change in blood pressure and incidence of atrial fibrillation: Results from a bi- ethnic population based study. PLoS One. 2013;8(11):1–7.
Méndez AS, Melgarejo JD, Mena LJ, Chávez CA, González AC, Boggia J, et al. Risk Factors for Orthostatic Hypotension: Differences between Elderly Men and Women. Am J Hypertens. 2018;31(7):797–803.
Fedorowski A, Stavenow L, Hedblad B, Berglund G, Nilsson PM, Melander O. Orthostatic hypotension predicts all-cause mortality and coronary events in middle-aged individuals (The Malmö Preventive Project). Eur Heart J. 2010;31(1):85–91.
