open access

Vol 18, No 3 (2011)
Original articles
Published online: 2011-06-09
Submitted: 2013-01-14
Get Citation

Prevalence of orthostatic hypotension in a series of elderly Mexican institutionalized patients

Enrique Asensio L., Andrea Aguilera C., María de los Angeles Corral C., Karla L. Mendoza C., Pablo E. Nava D., Ana Lilia Rendón C., Liliana Villegas C., Juan Manuel Fraga S., Enrique Negrete E., Lilia Castillo M., Arturo Orea T.
Cardiol J 2011;18(3):282-288.

open access

Vol 18, No 3 (2011)
Original articles
Published online: 2011-06-09
Submitted: 2013-01-14

Abstract

Background: Orthostatic hypotension (OH) is a common problem among the elderly. It is associated with an increase in morbidity and mortality, but its prevalence in Mexico is unknown.
Methods: We conducted a cross-sectional prospective study of intern patients at several Mexican elderly assistance institutions. We carried out a history and took blood pressure readings in a seated position, immediately after standing up, and again after 3 min of standing up.
Results: We evaluated 132 patients, mean age 82.3 ± 9.5 years, 74.1% of them female. Thirty-nine (29.3%) subjects had OH. They had a higher prevalence of hypothyroidism, Parkinson’s disease, depression and alcoholism. Their Minimental result was 15.45 ± 7.2 vs 16.12 ± 7.9 (p = 0.6) among those without OH, and their quality of life (Minnesota scale) was 12.1 ± 7.3 vs 9.15 ± 7.05 (p = 0.03). They used more ACEI, digoxin and levothyroxin. Hypertension and alcoholism showed respectively a RR of 2.6 (95% CI 0.9–7.6, p = 0.06) and 3.18 (95% CI 0.96–10.48, p = 0.05) to develop OH.
Conclusions: OH was present in 29.3% of the studied population. A third of them had hypertension. The use of different medications does not solely explain OH, so it is necessary to look for different associations. Among those, chronic alcoholism stands out. OH is associated with a poorer quality of life and cognitive performance. OH is asymptomatic in most cases. (Cardiol J 2011; 18, 3: 282–288)

Abstract

Background: Orthostatic hypotension (OH) is a common problem among the elderly. It is associated with an increase in morbidity and mortality, but its prevalence in Mexico is unknown.
Methods: We conducted a cross-sectional prospective study of intern patients at several Mexican elderly assistance institutions. We carried out a history and took blood pressure readings in a seated position, immediately after standing up, and again after 3 min of standing up.
Results: We evaluated 132 patients, mean age 82.3 ± 9.5 years, 74.1% of them female. Thirty-nine (29.3%) subjects had OH. They had a higher prevalence of hypothyroidism, Parkinson’s disease, depression and alcoholism. Their Minimental result was 15.45 ± 7.2 vs 16.12 ± 7.9 (p = 0.6) among those without OH, and their quality of life (Minnesota scale) was 12.1 ± 7.3 vs 9.15 ± 7.05 (p = 0.03). They used more ACEI, digoxin and levothyroxin. Hypertension and alcoholism showed respectively a RR of 2.6 (95% CI 0.9–7.6, p = 0.06) and 3.18 (95% CI 0.96–10.48, p = 0.05) to develop OH.
Conclusions: OH was present in 29.3% of the studied population. A third of them had hypertension. The use of different medications does not solely explain OH, so it is necessary to look for different associations. Among those, chronic alcoholism stands out. OH is associated with a poorer quality of life and cognitive performance. OH is asymptomatic in most cases. (Cardiol J 2011; 18, 3: 282–288)
Get Citation

Keywords

orthostatic hypotension; elderly; alcoholism; Parkinson; autonomic dysfunction

About this article
Title

Prevalence of orthostatic hypotension in a series of elderly Mexican institutionalized patients

Journal

Cardiology Journal

Issue

Vol 18, No 3 (2011)

Pages

282-288

Published online

2011-06-09

Bibliographic record

Cardiol J 2011;18(3):282-288.

Keywords

orthostatic hypotension
elderly
alcoholism
Parkinson
autonomic dysfunction

Authors

Enrique Asensio L.
Andrea Aguilera C.
María de los Angeles Corral C.
Karla L. Mendoza C.
Pablo E. Nava D.
Ana Lilia Rendón C.
Liliana Villegas C.
Juan Manuel Fraga S.
Enrique Negrete E.
Lilia Castillo M.
Arturo Orea T.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl