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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(3):289-293.
Factors Inhibiting Recovery of Orthostatic Hypotension with Ischemic Stroke Patients.
Jeong, Ho Joong , Kim, Ghi Chan , Sim, Young Joo , Eom, Moon Sub , Hong, Jin Young , Lee, Jong Hwa
1Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, Korea. subida79@naver.com
2Department of Physical Medicine and Rehabilitation, Dong-eui Hospital, Korea.
3Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine, Korea.
허혈성 뇌졸중에서 기립성 저혈압 회복의 저해 인자
정호중, 김기찬, 심영주, 엄문섭, 홍진영1, 이종화2
고신대학교 의과대학 재활의학교실, 1동의병원 재활의학교실, 2동아대학교 의과대학 재활의학교실
Abstract
Objective
To determine the time period and factors inhibiting recovery of orthostatic hypotension during head up tilt with ischemic stroke patients.
Method
Fourty two ischemic stroke patients with orthostatic hypotension were included. Blood pressure and heart rate were taken after resting in the supine position for 10 minutes and again after standing for one minute every week. Age, gender, body mass index, laboratory findings, diabetes mellitus, anti-hypertensive use, side of involved hemisphere and K-MBI were obtained.
Results
The numbers of orthostatic hypotension patients were significantly decreased at 3rd week. Non recovering group until 3rd week were older in age and had higher plasma creatinine level. On the other hand, body mass index and K-MBI were lower than the group without orthostatic hypotention. Multivariate analysis revealed that age, body mass index, anti-hypertensive medication were independently associated factors for resistant orthostatic hypotension during head up tilt.
Conclusion
For 7 weeks, especially at 3rd week, the numbers of orthostatic hypotension patients significantly decreased. Age, BMI, and antihypertensive medication were inhibitiing factors for recovery of orthostatic hypotension. (J Korean Acad Rehab Med 2008; 32: 289-293)
Key Words: Orthostatic hypotension, Age, Body mass index, Antihypertensive use


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