Volatile Blood Pressure Due To Baroreflex and Autonomic Failure
  • Verena Adelina Briner
    Department of Medicine, Luzerner Kantonsspital, Lucerne
  • Mauro Vasella
    Department of Medicine, Luzerner Kantonsspital, Lucerne

Abstract

An 85-year-old male was hospitalized because of deterioration of his general condition and infection of the tracheostoma. He had had laryngectomy, bilateral neck dissection and radiation therapy for a laryngeal carcinoma 5 years earlier. Despite a good recovery, he could not get up because of a new onset of postural symptoms (dizziness, lightheadedness, collapse). Late onset of baroreflex failure and autonomic nervous system failure were diagnosed. Volatility of blood pressure (supine hypertension, upright hypotension) was treated with NaCl supplement during the day and a short-acting antihypertensive (clonidine) at night. With this regimen, the patient could walk without support.

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    Published: 2014-10-07
    Issue: Vol. 1 (2014) (view)


    How to cite:
    1.
    Briner VA, Vasella M. Volatile Blood Pressure Due To Baroreflex and Autonomic Failure. EJCRIM 2014;1 doi:10.12890/2014_000143.

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