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Editor's Correspondence
May 26, 2003

Is Orthostatic Hypotension a Consistent Finding in the Acute Geriatric Ward?

Author Affiliations

Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Intern Med. 2003;163(10):1239-1240. doi:10.1001/archinte.163.10.1239-a

The report by Weiss et al1 focused on the prevalence and consistency of orthostatic hypotension (OH) in elderly patients during the day. They performed orthostatic blood pressure (BP) measurements 3 times a day, 30 minutes after meals. The authors wonder whether OH is a consistent finding in the acute geriatric ward. Although we agree that OH is a very common finding in geriatric patients, we have serious doubts if Weiss et al measured only OH. It is more likely that they have measured a combined BP effect of meals (postprandial hypotension [PPH]) and postural changes.

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