Postprandial hypotension.

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Acarbose and postprandial hypotension.

Acarbose and Postprandial Hypotension To the Editor: We read with interest the article by Shibao et al,1 who reported that acute administration of acarbose had a substantial, beneficial effect on the hypotensive response to a high-carbohydrate meal in patients with autonomic failure. It was suggested that this effect is mediated, at least in part, by a reduction in the insulinemic response to a...

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Postprandial hypotension: epidemiology, pathophysiology, and clinical management.

OBJECTIVE To show the clinical relevance of postprandial hypotension and to review its pathophysiology and management. DATA SOURCES Articles on postprandial hypotension were identified through MEDLINE and bibliographies of relevant articles. STUDY SELECTION All articles and case reports describing meal-related hypotension in the elderly and in patients with autonomic failure. DATA SYNTHES...

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Cerebral ischemic attack caused by postprandial hypotension.

BACKGROUND Food ingestion sometimes induces systemic hypotension (postprandial hypotension). Although the possibility of stroke occurring postprandially has been suggested, no cases have been reported until now. CASE DESCRIPTION A 78-year-old man experienced repeated transient ischemic attacks after almost every ingestion of food and showed orthostatic and postprandial hypotension. An angiogr...

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Postprandial hypotension in the elderly: Findings in a Mexican population.

OBJECTIVE Postprandial hypotension is a known cause of syncope in the elderly. Its prevalence is unknown in our country. METHODS A prospective cross-sectional study was performed to determine PPH's Prevalence in elderly adults of both an urban and a rural Community in the State of Queretaro. Blood pressure measurements included a basal pre-prandial record, minute 0 recording at the moment the...

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Acarbose, an -Glucosidase Inhibitor, Attenuates Postprandial Hypotension in Autonomic Failure

Postprandial hypotension is an important clinical condition that predisposes to syncope, falls, angina, and cerebrovascular events. The magnitude of the fall in blood pressure after meals depends on enteric glucose availability. We hypothesized that acarbose, an -glucosidase inhibitor that decreases glucose absorption in the small intestine, would attenuate postprandial hypotension. Acarbose or...

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ژورنال

عنوان ژورنال: BMJ

سال: 1977

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.2.6097.1262