A Case of Orthostatic and Postexertional Hypotension with Ischemic Electrocardiographic Changes

Takashi UEYAMA; Takuzo HANO; Ken KASAMATSU; Osamu MOHARA; Hiroki SHIMA; Kenji UESHIMA; Kazuya FUKUDA; Yuji UENO; Ichiro NISHIO

doi:10.1536/ihj.35.375

Takashi UEYAMA, Takuzo HANO, Ken KASAMATSU, Osamu MOHARA, Hiroki SHIMA, Kenji UESHIMA, Kazuya FUKUDA, Yuji UENO, Ichiro NISHIO

Author information

Takashi UEYAMA
Division of Cardiology, Department of Medicine, Wakayama Medical College
Takuzo HANO
Division of Cardiology, Department of Medicine, Wakayama Medical College
Ken KASAMATSU
Division of Cardiology, Department of Medicine, Wakayama Medical College
Osamu MOHARA
Division of Cardiology, Department of Medicine, Wakayama Medical College
Hiroki SHIMA
Division of Cardiology, Department of Medicine, Wakayama Medical College
Kenji UESHIMA
Division of Cardiology, Department of Medicine, Wakayama Medical College
Kazuya FUKUDA
Division of Cardiology, Department of Medicine, Wakayama Medical College
Yuji UENO
Division of Cardiology, Department of Medicine, Wakayama Medical College
Ichiro NISHIO
Division of Cardiology, Department of Medicine, Wakayama Medical College

Keywords: Orthostatic hypotension, Postexertional hypotension, Syncope, Ischemic electrocardiographic change, Autonomic nervous dysfunction

JOURNAL FREE ACCESS

1994 Volume 35 Issue 3 Pages 375-382

DOI https://doi.org/10.1536/ihj.35.375

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Abstract

A case of orthostatic and postexertional hypotension with ischemic electrocardiographic changes is reported. The etiology was considered to be the partial dysfunction of efferent sympathetic nerve endings. Peripheral adrenergic receptors (α and β) were up-regulated, which might have caused pseudoischemic electrocardiographic changes and abnormal vasodilation after exercise.

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