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Clinical Autonomic Research
Erschienen in: Clinical Autonomic Research 1/2016

01.02.2016 | Research Article

Orthostatic hypotension and orthostatic hypertension in American veterans

verfasst von: Jill M. Wecht, Joseph P. Weir, Stephanie Martinez, Mastanna Eraifej, William A. Bauman

Erschienen in: Clinical Autonomic Research | Ausgabe 1/2016

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Abstract

Purpose

Abnormal blood pressure (BP) response to orthostatic maneuvers may predict adverse health outcomes. Orthostatic hypotension (OH) is defined as a fall in BP of ≥20/10 mmHg, and orthostatic hypertension (OHTN) is defined as an increase in systolic BP (SBP) of ≥20 mmHg, with standing. Herein, we document the prevalence of OH and OHTN in American veterans.

Methods

The influence of demographic characteristics, life habits, co-incident medical conditions, and prescription medication use on these prevalence rates and associations between abnormal orthostatic BP responses and severity of self-reported symptoms of fatigue, dizziness, trouble concentrating, and head and neck discomfort were determined.

Results

286 veterans participated; 14 % were classified with OH, 22 % with OHTN, and 64 % with normal BP responses to standing (reference group). An increased prevalence of the diagnosis of diabetes mellitus (27 %) and hypertension (63 %) was noted, which did not differ by orthostatic BP classification. Veterans with OH were older than the reference group and were prescribed more antihypertensive medications than the reference and OHTN groups. While the prevalence of OH increased with age, the prevalence of OHTN was comparable in young (20–30 years) and old (70+ years) veterans (17 vs. 19 %, respectively). The severity of fatigue and dizziness was increased in veterans with OH and OHTN compared to the reference group.

Conclusion

These data suggest a relatively high prevalence of OH and OHTN, which is associated with increased self-reported severity of fatigue and dizziness in American veterans, findings which may adversely impact long-term health outcomes.
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Metadaten
Titel
Orthostatic hypotension and orthostatic hypertension in American veterans
verfasst von
Jill M. Wecht
Joseph P. Weir
Stephanie Martinez
Mastanna Eraifej
William A. Bauman
Publikationsdatum
01.02.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Autonomic Research / Ausgabe 1/2016
Print ISSN: 0959-9851
Elektronische ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-015-0328-4

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