期刊
CLINICAL AUTONOMIC RESEARCH
卷 11, 期 4, 页码 269-270出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1007/BF02298960
关键词
syncope; hypotension; orthostatis; antidepressants; Finapres
A 60-year-old male patient with recurrent unexplained syncope on standing was studied. During continuous, noninvasive blood pressure (BP) recording with a Finapres device, an abnormally large and symptomatic initial decrease in systemic BP was documented. After 2 minutes of standing, BP had recovered. The transient decrease in BP was attributed to the use of a combination of antidepressants known to interfere with sympathetic function. This case shows the importance of continuous, noninvasive BP measurement on standing: routine intermittent BP recording would have missed the abnormality. In patients using medications such as antidepressants, initial transient hypotension should be considered as the cause of falls and syncope.
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