Gradual progressive orthostatic hypotension (POH) is a common problem in the older population. This is due to age-related decline in baroreflex-mediated vasoconstriction and chronotropic responses of the heart, as well as decline in the diastolic filling of the heart, among other factors (2). Orthostatic hypotension is more common in older people for a variety of reasons.

What are the risk factors for orthostatic hypotension?

An rise in supine blood pressure linked with aging has been suggested as a primary factor of the development of orthostatic hypotension as people age. 2 Orthostatic hypotension is also related with a considerable increase in morbidity and mortality in elderly people.

What is orthostatic hypotension in the frail elderly?

Italo Biaggioni ([email protected]) should be contacted for further information. Orthostatic hypotension (OH) is a serious and prevalent medical condition that affects the elderly, especially those who are fragile and have numerous comorbidities and use multiple medications. OH is a risk factor for both falls and overall mortality that is independent of other factors.

Does depression cause orthostatic hypotension?

Daytime sleepiness is a substantial risk factor for falls in both untreated depression and depression treated with antidepressants, according to the National Institute of Mental Health.Orthostatic hypotension of clinical significance is prevalent with TCAs and similar medicines, as well as with the earlier monoamine oxidase inhibitors and serotonin-norepinephrine reuptake inhibitors, among other things (SNRIs).

What is orthostatic hypotension (Oh)?

It is typical in elderly persons to experience orthostatic hypotension (OH), which is something that is seen on a regular basis in emergency rooms and medical admissions units. Falls, fractures, dementia, and mortality are all increased as a result of this condition; thus, early detection and treatment are vital.