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September 2021 Br J Cardiol 2021;28:117–8 doi:10.5837/bjc.2021.040

Severe orthostatic hypotension and weight loss associated with cancer therapy

Peter Sever

Abstract

Case one Professor Peter Sever A squamous cell carcinoma of the right tonsil was confirmed by biopsy in a 70-year-old man in July 2014. It was well encapsulated and subsequent cervical lymph node biopsies showed no tumour spread. In August and September 2014, the patient had intense radiotherapy to the tonsil and surrounding areas. Following radiotherapy, the patient experienced profound lethargy and soreness of the mouth to such an extent that despite attempts at high-calorie supplement feeding he continued to lose weight. By the end of October, he had lost 10 kg, began to develop dizziness on standing and marked orthostatic hypotension was

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