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Recurrent syncope in an 84-year-old man.

C Jiang1, W Tang1, X Hou1

  • 1Department of Internal Medicine and Geriatrics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Journal of Postgraduate Medicine
|March 2, 2023
PubMed
Summary
This summary is machine-generated.

An elderly man experienced syncope (temporary loss of consciousness) due to rapid tube feeding. Adjusting the feeding rate resolved the postprandial hypotension and prevented further episodes.

Keywords:
Agedenteral nutritionpostprandial hypotensionsyncope

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Area of Science:

  • Geriatrics
  • Cardiology
  • Gastroenterology

Background:

  • Postprandial hypotension is a common cause of syncope in the elderly.
  • Tube feeding is a common nutritional support method in elderly patients with comorbidities.

Observation:

  • An 84-year-old male with hypertension and type 2 diabetes presented with recurrent syncope post-meal.
  • Standard tests for orthostatic and postprandial hypotension were negative.
  • Patient was receiving tube feeding at an excessively rapid rate (1500 mL/min).

Findings:

  • The patient was diagnosed with syncope secondary to postprandial hypotension.
  • The hypotension was directly attributed to the rapid rate of tube feeding.

Implications:

  • This case underscores the critical role of detailed patient history, including feeding methods, in diagnosing syncope.
  • Highlights the risk of iatrogenic postprandial hypotension from inappropriate tube feeding in the elderly.
  • Emphasizes the need for careful management of tube feeding rates to prevent adverse events.