QuestionSBA
QuestionChoice
This patient is presenting with signs of postural hypotension, as demonstrated by the > 20 mmHg drop in systolic blood pressure when switching from a lying to a standing position. Many factors can increase the risk of postural hypotension, including diuretics, antihypertensives, antidepressants, and Parkinson's medications. In this case, the beta-blocker (bisoprolol) may be a likely precipitating factor for this patient's symptoms, and a change in dosage should be considered.
10002482
a
Lower bisoprolol dose
QuestionChoice
There is currently no association between atorvastatin and the development of postural hypotension.
10002484
c
Lower atorvastatin dose
QuestionChoice
There is currently no association between prasugrel use and the development of postural hypotension.
10002486
e
Lower prasugrel dose
QuestionChoice
There is currently no association between aspirin use and the development of postural hypotension.
10002485
d
Lower aspirin dose
QuestionChoice
There is currently no association between metformin and the development of postural hypotension.
10002483
b
Lower metformin dose
Concept
Chapter
2693
4044
Postural Hypotension
Topic
191
Geriatrics
13043
An 82-year-old male presents to orthopaedics with a fracture following a recent fall. His wife mentions that he has recently been having more falls than usual, and is beginning to struggle with his activities of daily living. He has a past medical history of type 2 diabetes and a previous myocardial infarction. His current medications include metformin, gliclazide, losartan, bisoprolol, aspirin, prasugrel and atorvastatin. The blood pressure for this patient is measured:

Lying blood pressure: 144/82 mmHg

Standing blood pressure: 106/70 mmHg

Given the most likely diagnosis, which of the following options should be considered in the management of this patient?
a