Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists.
Identifieur interne : 001687 ( Ncbi/Curation ); précédent : 001686; suivant : 001688Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists.
Auteurs : Ji-Youn Kim [Corée du Sud] ; Eun Joo Chung ; Seung Woo Park ; Won Yong LeeSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2006.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Bromocriptine (adverse effects), Bromocriptine (therapeutic use), Dopamine Agonists (adverse effects), Dopamine Agonists (therapeutic use), Echocardiography, Ergot Alkaloids (adverse effects), Heart Valve Diseases (chemically induced), Heart Valve Diseases (physiopathology), Humans, Middle Aged, Parkinson Disease (drug therapy), Pergolide (adverse effects), Pergolide (therapeutic use), Reference Values.
- MESH :
- chemical , adverse effects : Bromocriptine, Dopamine Agonists, Ergot Alkaloids, Pergolide.
- chemical , therapeutic use : Bromocriptine, Dopamine Agonists, Pergolide.
- chemically induced : Heart Valve Diseases.
- drug therapy : Parkinson Disease.
- physiopathology : Heart Valve Diseases.
- Adult, Aged, Aged, 80 and over, Echocardiography, Humans, Middle Aged, Reference Values.
Abstract
Valvular heart disease, associated with ergot derivative dopamine agonists, has been reported in patients with Parkinson's disease (PD). There are few comparative studies on the frequency, severity, and dose dependency of valvular disease associated with ergot derivatives. We analyzed these factors in 58 PD patients who were taking ergot derivatives (22 were taking bromocriptine and 36 were taking pergolide) and compared them with 20 age-matched controls based on the two-dimensional echocardiographic findings. Aortic, mitral, and tricuspid valvular thicknesses, as well as tenting areas and tenting distance of the mitral valve were measured. We also assessed the correlation between the cumulative or daily doses of ergot derivatives and each valvular parameter. There was no significant increase in the frequency of valvulopathy in the PD patients taking bromocriptine or pergolide. We identified a positive correlation between the daily dose of pergolide and the tenting area of the mitral valve (r = 0.385; P = 0.020). However, other valvular parameters were not found to correlate with the age, disease duration, treatment duration, or dosage of medication. Our study failed to uncover definitive harmful effects of ergot derivative dopamine agonists on cardiac valves; this is considering the relatively lower daily doses than other reported cases. To establish a dosage dependency with valvulopathy, a more detailed study with higher doses of ergot derivatives for longer duration of treatment may be needed.
DOI: 10.1002/mds.20931
PubMed: 16685692
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pubmed:16685692Le document en format XML
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<author><name sortKey="Kim, Ji Youn" sort="Kim, Ji Youn" uniqKey="Kim J" first="Ji-Youn" last="Kim">Ji-Youn Kim</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
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<author><name sortKey="Chung, Eun Joo" sort="Chung, Eun Joo" uniqKey="Chung E" first="Eun Joo" last="Chung">Eun Joo Chung</name>
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<author><name sortKey="Park, Seung Woo" sort="Park, Seung Woo" uniqKey="Park S" first="Seung Woo" last="Park">Seung Woo Park</name>
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<author><name sortKey="Lee, Won Yong" sort="Lee, Won Yong" uniqKey="Lee W" first="Won Yong" last="Lee">Won Yong Lee</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists.</title>
<author><name sortKey="Kim, Ji Youn" sort="Kim, Ji Youn" uniqKey="Kim J" first="Ji-Youn" last="Kim">Ji-Youn Kim</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.</nlm:affiliation>
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<wicri:regionArea>Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul</wicri:regionArea>
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<author><name sortKey="Chung, Eun Joo" sort="Chung, Eun Joo" uniqKey="Chung E" first="Eun Joo" last="Chung">Eun Joo Chung</name>
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<author><name sortKey="Park, Seung Woo" sort="Park, Seung Woo" uniqKey="Park S" first="Seung Woo" last="Park">Seung Woo Park</name>
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<author><name sortKey="Lee, Won Yong" sort="Lee, Won Yong" uniqKey="Lee W" first="Won Yong" last="Lee">Won Yong Lee</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Bromocriptine (adverse effects)</term>
<term>Bromocriptine (therapeutic use)</term>
<term>Dopamine Agonists (adverse effects)</term>
<term>Dopamine Agonists (therapeutic use)</term>
<term>Echocardiography</term>
<term>Ergot Alkaloids (adverse effects)</term>
<term>Heart Valve Diseases (chemically induced)</term>
<term>Heart Valve Diseases (physiopathology)</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Pergolide (adverse effects)</term>
<term>Pergolide (therapeutic use)</term>
<term>Reference Values</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Bromocriptine</term>
<term>Dopamine Agonists</term>
<term>Ergot Alkaloids</term>
<term>Pergolide</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Bromocriptine</term>
<term>Dopamine Agonists</term>
<term>Pergolide</term>
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<keywords scheme="MESH" qualifier="chemically induced" xml:lang="en"><term>Heart Valve Diseases</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Heart Valve Diseases</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Echocardiography</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Reference Values</term>
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<front><div type="abstract" xml:lang="en">Valvular heart disease, associated with ergot derivative dopamine agonists, has been reported in patients with Parkinson's disease (PD). There are few comparative studies on the frequency, severity, and dose dependency of valvular disease associated with ergot derivatives. We analyzed these factors in 58 PD patients who were taking ergot derivatives (22 were taking bromocriptine and 36 were taking pergolide) and compared them with 20 age-matched controls based on the two-dimensional echocardiographic findings. Aortic, mitral, and tricuspid valvular thicknesses, as well as tenting areas and tenting distance of the mitral valve were measured. We also assessed the correlation between the cumulative or daily doses of ergot derivatives and each valvular parameter. There was no significant increase in the frequency of valvulopathy in the PD patients taking bromocriptine or pergolide. We identified a positive correlation between the daily dose of pergolide and the tenting area of the mitral valve (r = 0.385; P = 0.020). However, other valvular parameters were not found to correlate with the age, disease duration, treatment duration, or dosage of medication. Our study failed to uncover definitive harmful effects of ergot derivative dopamine agonists on cardiac valves; this is considering the relatively lower daily doses than other reported cases. To establish a dosage dependency with valvulopathy, a more detailed study with higher doses of ergot derivatives for longer duration of treatment may be needed.</div>
</front>
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