| A case of postprandial hypotension presenting with postprandial dizziness |
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Sang Kyoon Kim, Kyoung Hee Noh |
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한림대학교 의과대학 내과학교실 강동성심병원 심혈관센터 |
| 증례: 식후 어지러움을 주소로 내원한 식후 저혈압 환자 1예 |
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김상균&#;노경희, Kyoung Hee Noh |
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| Abstract |
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Postprandial hypotension is an important minor clinical problem. It is a common disorder that causes unexplained dizziness, falls, lightheadedness, syncope, angina pectoris, and even transient ischemic attacks of the brain. It is often defined as a decrease in systolic blood pressure by more than 20 mmHg within 2 hours after a meal. The mechanism of postprandial hypotension is splanchnic blood pooling via the loading of glucose in the intestine and decompensation of the autonomic nervous system. The best tool for detecting a fall in systolic blood pressure is 24-hour ambulatory blood pressure monitoring. Acarbose, an α-glucosidase inhibitor, is very useful for preventing postprandial hypotension. We experienced a case of postprandial hypotension that presented with postprandial dizziness. The patient was treated successfully with acarbose before each meal. (Korean J Med 75:358-361, 2008) |
| Key Words:
Postprandial hypotension; Postprandial dizziness; Autonomic neuropathy |
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