Postural hypotension in geriatric outpatient clinic of the Hospital do Servidor Público Estadual de São Paulo

Abstract

OBJECTIVE: Assess the frequency of orthostatic hypotension and its symptoms in outpatients and identify possible risk factors for the patient's profile. METHOD: A hundred elderly aged 65 years old or over it of both sexes that sought outpatient care at "Hospital do Servidor P&uacute;blico Estadual", had their the blood pressure measured in the supine position after a resting of 3 minutes in this position and in a standing position after 1 - 3 minutes, when the patient was asked about the symptoms. The risk factors for orthostatic hypotension were asked previously. RESULTS: Frequency of orthostatic hypotension was 38% and of these only 11% had symptoms. The association of changes in systolic and diastolic blood pressure was more frequent, 24%, compared to isolated changes. One or more risk factors were found in all patients of the sample, and the use of medications and hypertension were the most common. CONCLUSION: There is a high frequency of orthostatic hypotension in ambulatory elderly, especially chronic users of drugs and hypertense elders.</p

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