Observations on a Case of Intermittent Postural Hypotension

Case Reports1 August 1942OBSERVATIONS ON A CASE OF INTERMITTENT POSTURAL HYPOTENSIONLOUIS B. LAPLACE, M.D., F.A.C.P.LOUIS B. LAPLACE, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-17-2-339 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPostural hypotension is a syndrome characterized by the occurrence of a fall of arterial pressure when an upright posture is assumed. In that form of the malady which was first described by Bradbury and Eggleston,1the fall of arterial pressure is accompanied by relatively little or no increase in heart rate. The prevalent opinion is that the fall of pressure in cases of this type is owing to a defect of the reflex vasoconstrictor mechanism which adapts the circulation to changes in posture.2, 3, 4It has also been suggested, however, that the underlying fault consists of an inadequate return...References1. BRADBURYEGGLESTON SC: Postural hypotension, Am. Heart Jr., 1925, i, 73. CrossrefGoogle Scholar2. ELLISHAYNES LBFW: Postural hypotension, with particular reference to its occurrence in disease of the central nervous system, Arch. Int. Med., 1936, lviii, 773. CrossrefGoogle Scholar3. JEFFERSMONTGOMERYBURTON WAHAC: Types of orthostatic hypotension and their treatment, Am. Jr. Med. Sci., 1941, ccii, 1. CrossrefGoogle Scholar4. STEADEBERT EARV: Postural hypotension, a disease of the sympathetic nervous system, Arch. Int. Med., 1941, lxvii, 564. Google Scholar5. MACLEANALLEN AREV: Orthostatic hypotension and orthostatic tachycardia, Jr. Am. Med. Assoc., 1940, cxv, 2162. CrossrefGoogle Scholar6. STRISOWER R: Ueber bedeutende Blutdrucksenkung nach Arbeit und bei Aenderung der Koerperlage bei Tabes dorsalis, Ztschr. f. klin. Med., 1931, cxvii, 384. Google Scholar7. CROLLDUTHRIEMACWILLIAM WFRJJA: Postural hypotension: Report of a case, Lancet, 1935, l, 194. CrossrefGoogle Scholar8. BROWNEHORTON HCBI: Postural hypotension: hourly and daily blood pressure variations, Minnesota Med., 1939, xx, 302. Google Scholar9. BELLET S: Unpublished observations. Google Scholar10. ALAMSMIRK MFH: Observations in man upon a blood pressure raising reflex arising from the voluntary muscles, Jr. Physiol., 1937, lxxxix, 372. CrossrefGoogle Scholar11. ALLENMAGEE EVHR: Orthostatic (postural) hypotension with syncope, Med. Clin. North Am., 1934, xviii, 585. Google Scholar12. LAPLACE LB: Unpublished observations. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Philadelphia, Pennsylvania*Received for publication September 29, 1941.From the Cardiac Clinic of the Graduate Hospital, Philadelphia, Pennsylvania. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySyncopeDirect Vasodilator Effect of Hyperventilation-Induced Hypocarbia in Autonomic Failure PatientsIncreased vascular beta2-adrenoceptor responsiveness in autonomic dysfunctionVegetative Herz- und KreislaufstörungenVegetative Herz- und KreislaufstörungenIdiopathic Orthostatic HypotensionOrthostatic Hypotension, Anhidrosis, and Impotence 1 August 1942Volume 17, Issue 2Page: 339-348KeywordsBlood pressureFallsGraduate medical educationHeart rateHospitalsHypotensionPostural controlReflexes ePublished: 1 December 2008 Issue Published: 1 August 1942 PDF downloadLoading ...