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Paperchase 2: Hypertension Management for Octogenarians

Andrew Buelt, DO and Joe Weatherly, DO
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Ian L., Dr -

There is a paucity of trials that measure Standing Blood Pressure and Orthostatic Blood Pressure in the elderly .
The article Orthostatic Hyotension in the elderly by Zhu et al in the Singapore MED J 2016 : 364 patients over 65 11.0% Orthostatic hypertension worse Comorbidities and Loop diuretics were risk factors .
Luukinen H et al in Finland in 1999 discovered Orthostatic Systolic Hypotension had a two fold risk of death in 792 patients. 30% had OH .Arch Intern MED 1999
In 2005 Luukinen et al found in diabetics with OH Diastolic 3.69 death rate 0H Systolic 3.69 death rate .
In Diabetis Res Clin Practice 2005 Feb 67 (2)163-6 .
A larger trial is justified lying sitting standing BP after 1 and 3 minutes Standing .

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