A case of postprandial hypotension presenting with postprandial dizziness / 대한내과학회지
Korean Journal of Medicine
;
: 358-361, 2008.
Article
in Korean
| WPRIM
| ID: wpr-181621
ABSTRACT
Postprandial hypotension is an important minor clinical problem. It is a common disorder that causes unexplained dizziness, falls, lightheadedness, syncope, angina pectoris, and even transient ischemic attacks of the brain. It is often defined as a decrease in systolic blood pressure by more than 20 mmHg within 2 hours after a meal. The mechanism of postprandial hypotension is splanchnic blood pooling via the loading of glucose in the intestine and decompensation of the autonomic nervous system. The best tool for detecting a fall in systolic blood pressure is 24-hour ambulatory blood pressure monitoring. Acarbose, an alpha-glucosidase inhibitor, is very useful for preventing postprandial hypotension. We experienced a case of postprandial hypotension that presented with postprandial dizziness. The patient was treated successfully with acarbose before each meal.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Autonomic Nervous System
/
Syncope
/
Blood Pressure
/
Brain
/
Ischemic Attack, Transient
/
Blood Pressure Monitoring, Ambulatory
/
Acarbose
/
Dizziness
/
Alpha-Glucosidases
/
Meals
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2008
Type:
Article
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