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Hot Flash Drops Blood Pressure

The case of this woman is reported in a letter to the current New England Journal of Medicine. The dramatic drop in blood pressure accompanied by an equally brisk increase in heart rate in this woman is described as "typical of the baroreflex response to an acute hypotensive episode." The authors speculate that the baroreflex response (see Comments below) may play a corrective role during a menopausal hot flash and they wonder what happens in a menopausal woman whose baroreflex function is impaired, for example, in a woman with autonomic neuropathy.

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