Isik Ahmet Turan, Soysal Pinar (eds.) Orthostatic Hypotension in Older Adults

2nd edition. — Springer, 2021. — 146 p. — ISBN 978-3-030-62492-7.This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, α-1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. “Orthostatic Hypotension in Older Adults” will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.Mechanisms of Orthostatic Tolerance and Age-Related Changes in Orthostatic Challenge
Orthostatic Hypotension: A New Geriatric Syndrome
Epidemiology and Risk Factors Associated with Orthostatic Hypotension in Older Adults
Orthostatic Hypotension: Clinical Features
Diagnosis and Differential Diagnosis
Orthostatic Hypotension and Drugs: Drug-Induced Orthostatic Hypotension
Comorbidities and Geriatric Syndromes Related to Orthostatic Hypotension
Orthostatic Hypotension in Neurodegenerative Diseases
Orthostatic Hypotension and Complications
Nursing Perspective for Older Patient with Orthostatic Hypotension
Prevention and Treatment
Orthostatic Hypertension
Other Syndromes of Orthostatic Intolerance: Delayed Orthostatic Hypotension, Postprandial Hypotension, Postural Orthostatic Tachycardia Syndrome, and Reflex Syncope