Do antidepressants cause postural hypotension by blocking cardiovascular reflexes?

Postural changes in blood pressure, respiratory sinus arrhythmia, the heart rate response to Valsalva's manoeuvre and to standing, and the blood pressure and heart rate responses to isometric exercise have been measured in seven young women taking antidepressant medication and compared with sev...

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Veröffentlicht in:European journal of clinical pharmacology 1987-01, Vol.31 (6), p.647-653
Hauptverfasser: MIDDLETON, H. C, MAISEY, D. N, MILLS, I. H
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container_title European journal of clinical pharmacology
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creator MIDDLETON, H. C
MAISEY, D. N
MILLS, I. H
description Postural changes in blood pressure, respiratory sinus arrhythmia, the heart rate response to Valsalva's manoeuvre and to standing, and the blood pressure and heart rate responses to isometric exercise have been measured in seven young women taking antidepressant medication and compared with seven controls. Among the patients there was a significant rank order correlation between the degree of postural hypotension and the daily dose of antidepressant medication. There was a significant impairment among the patients of all cardiovascular reflex responses measured, suggesting both cholinergic and adrenergic blockade. These results suggest that postural hypotension associated with antidepressant medication is caused in large part by a failure of reflex peripheral vasoconstriction.
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ispartof European journal of clinical pharmacology, 1987-01, Vol.31 (6), p.647-653
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subjects Antidepressive Agents - adverse effects
Arrhythmias, Cardiac - chemically induced
Biological and medical sciences
Blood Pressure - drug effects
Female
Heart Rate - drug effects
Humans
Hypotension, Orthostatic - chemically induced
Isometric Contraction
Medical sciences
Neuropharmacology
Pharmacology. Drug treatments
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Reflex - drug effects
Valsalva Maneuver
title Do antidepressants cause postural hypotension by blocking cardiovascular reflexes?
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