LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 284

Search options

  1. Book ; Online ; E-Book: Orthostatic hypotension in older adults

    Isik, Ahmet Turan / Soysal, Pinar

    2021  

    Abstract: This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, ... ...

    Author's details Ahmet Turan Isik, Pinar Soysal, editors
    Abstract This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, α-1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. “Orthostatic Hypotension in Older Adults” will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.
    Keywords Cardiovascular diseases in old age. ; Geriatrics
    Subject code 618.9761
    Language English
    Size 1 online resource (VIII, 148 p. 11 illus., 10 illus. in color.)
    Edition 1st ed. 2021.
    Publisher Springer
    Publishing place Cham, Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-62493-5 ; 3-030-62492-7 ; 978-3-030-62493-4 ; 978-3-030-62492-7
    DOI 10.1007/978-3-030-62493-4
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

    Kategorien

  2. Article ; Online: Reader Response: Systolic Blood Pressure Postural Changes Variability is Associated With Greater Dementia Risk.

    Soysal, Pinar

    Neurology

    2021  Volume 97, Issue 7, Page(s) 348–349

    MeSH term(s) Blood Pressure ; Dementia ; Humans ; Hypotension, Orthostatic ; Posture
    Language English
    Publishing date 2021-08-16
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000012431
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: The prevalence and co-existence of geriatric syndromes in older patients with dementia compared to those without dementia.

    Soysal, Pinar / Smith, Lee

    Aging clinical and experimental research

    2024  Volume 36, Issue 1, Page(s) 66

    Abstract: Background: This study aims to compare frequency and coexistence of geriatric syndromes in older patients with dementia to those without dementia.: Methods: 1392 patients admitted to geriatric outpatient clinics were evaluated. Evaluations for eleven ...

    Abstract Background: This study aims to compare frequency and coexistence of geriatric syndromes in older patients with dementia to those without dementia.
    Methods: 1392 patients admitted to geriatric outpatient clinics were evaluated. Evaluations for eleven geriatric syndromes including polypharmacy, malnutrition, fraility, sarcopenia, dysphagia, urinary incontinence, fear of falling, falls, insomnia, excessive daytime sleepiness, and orthostatic hypotension (OH) were carried out in consultation with the patient and the caregiver. Two groups with and without dementia were matched according to age and gender using the propensity score matching method.
    Results: A total of 738 patients, 369 with dementia and 369 without dementia were included, of whom 70.1% were female and the mean age was 80.5 ± 6.8. Polypharmacy, malnutrition, frailty, sarcopenia, dysphagia, fear of falling, and excessive daytime sleepiness were significantly higher in patients with dementia (p < 0.05). There was no difference between OH, urinary incontinence and insomnia between groups (p > 0.05). The co-existence of 0, 1, 2, 3, 4 and ≥ 5 geriatric syndromes in the same patient was 4.3%, 10.2%, 11.8%, 16.8%, 13.4% and 43.7% in non-dementia patients, respectively; 2.4%, 7.2%, 9.6%, 8.3%, 10.4% and 62.1% in those with dementia, respectively (p < 0.05).
    Conclusion: The presence and co-existence of geriatric syndromes is common in patients with dementia. These geriatric syndromes should be examined by clinicians and healthcare professionals who work with the demented population, so that more successful management of dementia patients may be achieved.
    MeSH term(s) Humans ; Female ; Aged ; Aged, 80 and over ; Male ; Geriatric Assessment/methods ; Prevalence ; Sarcopenia/epidemiology ; Sleep Initiation and Maintenance Disorders ; Deglutition Disorders ; Fear ; Malnutrition ; Dementia/epidemiology ; Urinary Incontinence/epidemiology ; Disorders of Excessive Somnolence
    Language English
    Publishing date 2024-03-13
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2104785-6
    ISSN 1720-8319 ; 1594-0667
    ISSN (online) 1720-8319
    ISSN 1594-0667
    DOI 10.1007/s40520-024-02724-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Comment on "Calf circumference and risk of cardiovascular disease".

    Soysal, Pinar

    Geriatrics & gerontology international

    2020  Volume 21, Issue 1, Page(s) 117–118

    MeSH term(s) Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/epidemiology ; Humans ; Leg ; Sarcopenia
    Language English
    Publishing date 2020-12-01
    Publishing country Japan
    Document type Letter ; Comment
    ZDB-ID 2113849-7
    ISSN 1447-0594 ; 1444-1586
    ISSN (online) 1447-0594
    ISSN 1444-1586
    DOI 10.1111/ggi.14101
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Comment on "association between hemoglobin level and cognitive profile in old adults: A cross-sectional survey".

    Soysal, Pinar / Kara, Osman

    International journal of geriatric psychiatry

    2023  Volume 38, Issue 4, Page(s) e5883

    MeSH term(s) Humans ; Cross-Sectional Studies ; Anemia ; Hemoglobins/analysis ; Cognition
    Chemical Substances Hemoglobins
    Language English
    Publishing date 2023-02-01
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 806736-3
    ISSN 1099-1166 ; 0885-6230
    ISSN (online) 1099-1166
    ISSN 0885-6230
    DOI 10.1002/gps.5883
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Comment on "Patient-reported cognitive complaints in older adults with gastrointestinal malignancies at diagnosis- Results from the CARE study".

    Soysal, Pinar

    Journal of geriatric oncology

    2020  Volume 12, Issue 1, Page(s) 171

    MeSH term(s) Aged ; Cognition ; Gastrointestinal Neoplasms/complications ; Gastrointestinal Neoplasms/diagnosis ; Geriatric Assessment ; Humans ; Patient Reported Outcome Measures
    Language English
    Publishing date 2020-06-13
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 2556813-9
    ISSN 1879-4076 ; 1879-4068
    ISSN (online) 1879-4076
    ISSN 1879-4068
    DOI 10.1016/j.jgo.2020.05.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Comment on "Prevalence, subtypes, and correlates of nocturia in the symptoms of Lower Urinary Tract Dysfunction Research Network cohort".

    Soysal, Pinar

    Neurourology and urodynamics

    2020  Volume 39, Issue 6, Page(s) 1902–1903

    MeSH term(s) Cohort Studies ; Humans ; Lower Urinary Tract Symptoms/diagnosis ; Lower Urinary Tract Symptoms/epidemiology ; Nocturia/epidemiology ; Prevalence ; Urinary Bladder
    Language English
    Publishing date 2020-06-09
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 604904-7
    ISSN 1520-6777 ; 0733-2467
    ISSN (online) 1520-6777
    ISSN 0733-2467
    DOI 10.1002/nau.24402
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article: Sexual activity and successful aging.

    Soysal, Pinar / Smith, Lee

    European geriatric medicine

    2022  Volume 13, Issue 6, Page(s) 1235–1238

    Language English
    Publishing date 2022-09-07
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2556794-9
    ISSN 1878-7657 ; 1878-7649
    ISSN (online) 1878-7657
    ISSN 1878-7649
    DOI 10.1007/s41999-022-00694-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Effect of insomnia and excessive daytime sleepiness on cardiac functions in older adults.

    Fotbolcu, Hakan / Soysal, Pinar

    Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society

    2023  Volume 23, Issue 5, Page(s) 800–807

    Abstract: Background: We investigated the potential harmful effect in older adults of insomnia and excessive daytime sleepiness (EDS) on myocardial functions and electrophysiologic changes of the heart in terms of heart rate and QT intervals corrected for heart ... ...

    Abstract Background: We investigated the potential harmful effect in older adults of insomnia and excessive daytime sleepiness (EDS) on myocardial functions and electrophysiologic changes of the heart in terms of heart rate and QT intervals corrected for heart rate (QTc).
    Methods: The study included 32 insomnia patients and 30 control subjects. An Insomnia Severity Index score of ≥15 indicated insomnia, while a score of <8 was accepted as the control group. The Epworth Sleepiness Scale was used to assess EDS, with a score of ≥11/24 points indicating EDS. Diastolic and systolic functions were evaluated in each patient by transthoracic two-dimensional, conventional and tissue Doppler echocardiography. Heart rate and QTc were calculated for electrophysiologic changes.
    Results: The mean age was 73.2 ± 7.9 years, with 59.7% being female. Biventricular systolic and diastolic functions were impaired in the insomnia patients. The E' value for diastolic function was lower in the patients with insomnia than the controls (5.99 ± 1.59 vs. 6.88 ± 0.97, P = 0.053). Furthermore, values for the systolic function parameters Lateral-S (7.41 ± 1.92 vs. 9.37 ± 1.83, P < 0.001), Septal-S (6.69 ± 1.40 vs. 8.10 ± 1.30, P = 0.001), and Tricuspid-S (12.25 ± 2.00 vs. 14.37 ± 3.13, P = 0.004) were lower for insomnia patients than for controls. In the case of EDS coexistence, the heart rate and QTc values were higher than the controls (76.47 ± 7.18 vs. 71.03 ± 10.95, P = 0.001, and 413.72 ± 28.24 vs. 394.67 ± 24.47, P = 0.015, respectively).
    Conclusion: Insomnia is associated with impaired systolic-diastolic functions, independent of EDS. The co-existence of insomnia and EDS may lead to electrophysiological changes in older adults, including increased heart rate and longer QTc.
    MeSH term(s) Humans ; Female ; Aged ; Aged, 80 and over ; Male ; Sleep Initiation and Maintenance Disorders/complications ; Disorders of Excessive Somnolence
    Language English
    Publishing date 2023-07-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213105-X
    ISSN 1479-8301 ; 1346-3500
    ISSN (online) 1479-8301
    ISSN 1346-3500
    DOI 10.1111/psyg.12999
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: The development of a short depression screening tool in older adults.

    Soysal, Pinar / Smith, Lee

    Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society

    2022  Volume 22, Issue 4, Page(s) 591

    MeSH term(s) Aged ; Depression/diagnosis ; Depressive Disorder/diagnosis ; Geriatric Assessment ; Humans ; Mass Screening
    Language English
    Publishing date 2022-05-07
    Publishing country England
    Document type Letter
    ZDB-ID 2213105-X
    ISSN 1479-8301 ; 1346-3500
    ISSN (online) 1479-8301
    ISSN 1346-3500
    DOI 10.1111/psyg.12846
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top