How much of a problem is postural hypotension following a stroke?
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How much of a problem is postural hypotension following a stroke?
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I was doing my ward round in our acute stroke ward few days ago, when I noticed that on this week we had two patients with significant postural drop in their blood pressure without being on antihyper
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Forums » Open clinical » Stroke » How much of a problem is postural hypotension following a stroke?
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How much of a problem is postural hypotension following a stroke?
posted at 11/10/2011 5:28 PM BST
on bmj.com
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Posts: 53
First: 19/7/2011 Last: 11/3/2013 |
I was doing my ward round in our acute stroke ward few days ago, when I noticed that on this week we had two patients with significant postural drop in their blood pressure without being on antihypertensive. The sensory autonomic dysfunction is partly contributing but what is about the management. The physiotherapist rightly very concerned as the patients were limited in what they can do in this case. Starting the patient with postural hypotension on fludrocortisone is an important issue in view of the nature of the original cerebral ischaemic event. |
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Re: How much of a problem is postural hypotension following a stroke?
posted at 12/10/2011 4:59 AM BST
on bmj.com
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Posts: 624
First: 13/4/2011 Last: 15/5/2013 |
Hello salah: Ambulatory Blood Pressure Monitoring is a good method to estimate dysautonomic patients. Elastic socks also can help to alleviate Hypotension. All Best, Joey
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Re: How much of a problem is postural hypotension following a stroke?
posted at 12/10/2011 12:06 PM BST
on bmj.com
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Posts: 53
First: 19/7/2011 Last: 11/3/2013 |
That is fine.. we can use indomethacin as well..however; I came across this paper from Hongkong which mentioend that more than half of their stroke patients had suffered from orthostatic hypotension at one stage of their rehabilitation process post stroke. The paper mentioned as well that there is no correlation between the length of stay in hospital and the orthostatic hypotension. This conclusion is important from healtheconomics point of view as every body is concerened nowadays about the length of stay in hospitals. This is the link to the paper: http://www.sciencedirect.com/science/article/pii/S000399930204858X |
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Re: How much of a problem is postural hypotension following a stroke?
posted at 17/7/2012 7:00 PM BST
on bmj.com
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Posts: 312
First: 2/6/2012 Last: 10/5/2013 |
stroke with parital region, vasodilator drug , diabetic patient,IHD ,autunomic insufficiency lead postural hypotention. it is cmmon but we easily missed. |
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Re: How much of a problem is postural hypotension following a stroke?
posted at 17/7/2012 10:19 PM BST
on bmj.com
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Posts: 624
First: 13/4/2011 Last: 15/5/2013 |
Hi all: We should not underestimate postural hypotension, as both on the acute setting of a recent stroke or on a more chronic setting of hypertension treatment, postural hypotension seems to induce a worse prognosis. I would re-evaluate all drugs the patient is taking....think a bit more about elastic socks....and perhaps add a bit more salt in the diet. All Best, Joey
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Forums » Open clinical » Stroke » How much of a problem is postural hypotension following a stroke?
