Related Experiment Video
Updated: Nov 7, 2025
09:19
Contrast Enhanced Ultrasound Imaging for Assessment of Spinal Cord Blood Flow in Experimental Spinal Cord Injury
Published on: May 7, 2015
14.2K
Postprandial Hypotension and Spinal Cord Injury.
Rikke Middelhede Hansen1, Klaus Krogh2, Joan Sundby1
1Spinal Cord Injury Centre of Western Denmark, Department of Neurology, Regional Hospital, DK-8800 Viborg, Denmark.
Journal of Clinical Medicine
|April 30, 2021
Summary
Postprandial hypotension (PPH) is common in spinal cord injury (SCI) patients, affecting nearly half of those studied. Most episodes were asymptomatic, but PPH was linked to older age and injury severity.
Area of Science:
- Cardiovascular Medicine
- Neurology
- Physiology
Background:
- Postprandial hypotension (PPH) is a significant drop in blood pressure after eating.
- Its prevalence and characteristics in spinal cord injury (SCI) populations are not well understood.
- Understanding PPH in SCI is crucial due to potential links with cardiovascular risks.
Purpose of the Study:
- To determine the prevalence of PPH in individuals with SCI.
- To identify factors associated with PPH in this population.
- To explore the clinical significance of PPH in SCI.
Main Methods:
- Ambulatory blood pressure monitoring was used in 158 individuals with SCI.
- Blood pressure was measured before and after meals over a defined period.
- Data analysis focused on identifying PPH episodes and correlating them with demographic and injury-specific factors.
Main Results:
- Nearly half (49.4%) of the SCI participants experienced PPH.
- PPH occurred after 25.4% of monitored meals, with a median systolic blood pressure drop of 28 mmHg.
- The majority (96%) of PPH episodes were asymptomatic.
- PPH occurrence was significantly associated with older age, higher injury level, and complete SCI.
Conclusions:
- Postprandial hypotension is highly prevalent in the SCI population.
- Older age and more severe SCI are risk factors for PPH.
- Further research is needed to determine if PPH contributes to increased cardiovascular mortality in SCI patients.
Related Concept Videos
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
121
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
121
01:26Cardiac Catheterization IV: Nursing Management
350
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
350
01:30Alterations in Blood Pressure
1.6K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.6K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
91
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
91