Orthostatic Hypotension in Older Adults

Orthostatic hypotension (OH) is a condition in older adults that can cause dizziness,fainting,and falls. It is caused by age-related factors such as decreased baroreflex sensitivity,α-1-adrenergic vasoconstrictor response,parasympathetic activity,renal salt and water conservation,increased vascular stiffness,and decreased ventricular diastolic filling. OH is associated with falls,cardiac events,heart failure,stroke,reduced quality of life,and increased risk of overall mortality. This book provides a comprehensive and practical guide to OH for doctors and nurses involved in the care of older adults.

Format: Paperback / softback
Length: 148 pages
Publication date: 23 December 2021
Publisher: Springer Nature Switzerland AG

Orthostatic hypotension (OH) is a condition that affects the homeostatic ability to maintain blood pressure while standing, and it is particularly prevalent in older adults. Several age-related factors can contribute to the development of OH, including 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. Additionally, concentrated capacities of the kidney may be associated with changes in postural blood pressure.

OH has been shown to be associated with a range of health outcomes, including falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality. This book provides a comprehensive and practical guide to 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 to discussing the mechanisms of orthostatic tolerance and other orthostasis-related conditions, the book also addresses drugs, comorbidities, and geriatric syndromes related to OH. It provides a comprehensive overview of the current evidence-based guidelines and recommendations for the management of OH, including the use of medications, lifestyle modifications, and other interventions.

This book 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. By providing a comprehensive and up-to-date understanding of OH, this book will help practitioners to improve the care and outcomes of older adults with this condition.

Weight: 252g
Dimension: 154 x 232 x 13 (mm)
ISBN-13: 9783030624958
Edition number: 1st ed. 2021