Comparison of risk of orthostatic hypotension in elderly depressed hypertensive women treated with nortriptyline and thiazides versus elderly depressed normotensive women treated with nortriptyline

This is a nonblind, case-controlled study comparing the risk of orthostatic hypotension (OH) in 2 groups of elderly depressed women: 22 normotensive and 21 hypertensive patients receiving thiazides. Blood pressure measurements and tilt-table tests produced similar results: increased drop in systolic...

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Published inThe American journal of cardiology Vol. 85; no. 9; pp. 1156 - 1158
Main Authors Scalco, Mônica Z, de Almeida, Osvaldo P, Hachul, Denise T, Castel, Saulo, Serro-Azul, João, Wajngarten, Maurı́cio
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.2000
Elsevier
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ISSN0002-9149
1879-1913
DOI10.1016/S0002-9149(00)00717-7

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Abstract This is a nonblind, case-controlled study comparing the risk of orthostatic hypotension (OH) in 2 groups of elderly depressed women: 22 normotensive and 21 hypertensive patients receiving thiazides. Blood pressure measurements and tilt-table tests produced similar results: increased drop in systolic blood pressure (SBP) after standing (p <0.001), with no significant differences between the groups (p = 0.523). There were no changes on diastolic blood pressure (DBP) after standing, or in SBP or DBP at rest. Dizziness was reported by 23 subjects (53.5%) before treatment, and by 16 subjects (38.1%) at week 8. Complaints of dizziness were not associated with OH (Kappa = 0.07).
AbstractList This is a nonblind, case-controlled study comparing the risk of orthostatic hypotension (OH) in 2 groups of elderly depressed women: 22 normotensive and 21 hypertensive patients receiving thiazides. Blood pressure measurements and tilt-table tests produced similar results: increased drop in systolic blood pressure (SBP) after standing (p <0.001), with no significant differences between the groups (p = 0.523). There were no changes on diastolic blood pressure (DBP) after standing, or in SBP or DBP at rest. Dizziness was reported by 23 subjects (53.5%) before treatment, and by 16 subjects (38.1%) at week 8. Complaints of dizziness were not associated with OH (Kappa = 0.07).
This is a nonblind, case-controlled study comparing the risk of orthostatic hypotension (OH) in 2 groups of elderly depressed women: 22 normotensive and 21 hypertensive patients receiving thiazides. Blood pressure measurements and tilt-table tests produced similar results: increased drop in systolic blood pressure (SBP) after standing (p <0.001), with no significant differences between the groups (p = 0.523). There were no changes on diastolic blood pressure (DBP) after standing, or in SBP or DBP at rest. Dizziness was reported by 23 subjects (53.5%) before treatment, and by 16 subjects (38.1%) at week 8. Complaints of dizziness were not associated with OH (Kappa = 0.07).This is a nonblind, case-controlled study comparing the risk of orthostatic hypotension (OH) in 2 groups of elderly depressed women: 22 normotensive and 21 hypertensive patients receiving thiazides. Blood pressure measurements and tilt-table tests produced similar results: increased drop in systolic blood pressure (SBP) after standing (p <0.001), with no significant differences between the groups (p = 0.523). There were no changes on diastolic blood pressure (DBP) after standing, or in SBP or DBP at rest. Dizziness was reported by 23 subjects (53.5%) before treatment, and by 16 subjects (38.1%) at week 8. Complaints of dizziness were not associated with OH (Kappa = 0.07).
Author Scalco, Mônica Z
Hachul, Denise T
Wajngarten, Maurı́cio
Castel, Saulo
de Almeida, Osvaldo P
Serro-Azul, João
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Issue 9
Keywords Toxicity
Cardiovascular disease
Vertigo
Diuretic
Postural hypotension
Antidepressant agent
ENT disease
Female
Psychopathology
Diagnosis
Human
Hypertension
Nortriptyline
Nervous system diseases
Depression
Tricyclic compound
Medical screening
Equilibrium disorder
Symptomatology
Concomitant disease
Chemotherapy
Treatment
Diseases of the autonomic nervous system
Risk factor
Antihypertensive agent
Combined treatment
Thiazide
Elderly
Comparative study
Language English
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Snippet This is a nonblind, case-controlled study comparing the risk of orthostatic hypotension (OH) in 2 groups of elderly depressed women: 22 normotensive and 21...
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SubjectTerms Aged
Antidepressive Agents, Tricyclic - adverse effects
Antihypertensive agents
Biological and medical sciences
Blood Pressure - drug effects
Cardiovascular system
Case-Control Studies
Depression - complications
Depression - drug therapy
Female
Humans
Hypotension, Orthostatic - chemically induced
Medical sciences
Middle Aged
Nortriptyline - adverse effects
Pharmacology. Drug treatments
Tilt-Table Test
Title Comparison of risk of orthostatic hypotension in elderly depressed hypertensive women treated with nortriptyline and thiazides versus elderly depressed normotensive women treated with nortriptyline
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0002914900007177
https://dx.doi.org/10.1016/S0002-9149(00)00717-7
https://www.ncbi.nlm.nih.gov/pubmed/10781773
https://www.proquest.com/docview/71073600
Volume 85
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