The Frequency of Cardiac Valvular Regurgitation in Parkinson's Disease
Identifieur interne : 001063 ( PascalFrancis/Checkpoint ); précédent : 001062; suivant : 001064The Frequency of Cardiac Valvular Regurgitation in Parkinson's Disease
Auteurs : Kazuo Yamashiro [Japon] ; Miki Komine-Kobayashi [Japon] ; Taku Hatano [Japon] ; Takao Urabe [Japon] ; Hideki Mochizuki [Japon] ; Nobutaka Hattori [Japon] ; Yoshitaka Iwama [Japon] ; Hiroyuki Daida [Japon] ; Michi Sakai [Japon] ; Takeo Nakayama [Japon] ; Yoshikuni Mizuno [Japon]Source :
- Movement disorders [ 0885-3185 ] ; 2008.
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Abstract
To investigate the frequency of cardiac valve regurgitation related with low dose dopamine agonists in patients with Parkinson's disease (PD), echocardiograms were analyzed in 527 consecutive PD patients (448 patients treated with dopamine agonists, 79 patients never treated with dopamine agonists as age-matched controls). The frequency of mild or above mild regurgitation of the aortic valve (AR) was significantly higher in the cabergoline group (13.7%, P < 0.05) compared with the controls (2.5%). Odds ratio adjusted by age and sex for AR was significantly higher in the cabergoline group (OR, 6.45; 95% CI, 1.46-28.60; P = 0.01): odds ratio was significantly higher in patients treated with higher daily doses (OR, 14.41; 95% CI, 3.08-67.38; P = 0.0007) and higher cumulative doses (OR, 15.29; 95% CI, 3.19-73.18; P = 0.0006). No statistical difference was identified in the frequency of the tricuspid and mitral regurgitation. None of the other dopamine agonist groups including pergolide gave higher frequency or higher odds ratio compared with the controls. None of our patients showed severe regurgitation or was operated for valvular heart disease. The question as to whether or not longer duration of low dose dopamine agonist treatment would yield the same results needs further studies.
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type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Sakai, Michi" sort="Sakai, Michi" uniqKey="Sakai M" first="Michi" last="Sakai">Michi Sakai</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Health Informatics, Kyoto University School of Public Health</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Nakayama, Takeo" sort="Nakayama, Takeo" uniqKey="Nakayama T" first="Takeo" last="Nakayama">Takeo Nakayama</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Health Informatics, Kyoto University School of Public Health</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Mizuno, Yoshikuni" sort="Mizuno, Yoshikuni" uniqKey="Mizuno Y" first="Yoshikuni" last="Mizuno">Yoshikuni Mizuno</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Research Institute for diseases of Old Age, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>11 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">08-0305148</idno><date when="2008">2008</date><idno type="stanalyst">PASCAL 08-0305148 INIST</idno><idno type="RBID">Pascal:08-0305148</idno><idno type="wicri:Area/PascalFrancis/Corpus">001234</idno><idno type="wicri:Area/PascalFrancis/Curation">001A85</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">001063</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The Frequency of Cardiac Valvular Regurgitation in Parkinson's Disease</title><author><name sortKey="Yamashiro, Kazuo" sort="Yamashiro, Kazuo" uniqKey="Yamashiro K" first="Kazuo" last="Yamashiro">Kazuo Yamashiro</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Komine Kobayashi, Miki" sort="Komine Kobayashi, Miki" uniqKey="Komine Kobayashi M" first="Miki" last="Komine-Kobayashi">Miki Komine-Kobayashi</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Hatano, Taku" sort="Hatano, Taku" uniqKey="Hatano T" first="Taku" last="Hatano">Taku Hatano</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Urabe, Takao" sort="Urabe, Takao" uniqKey="Urabe T" first="Takao" last="Urabe">Takao Urabe</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Mochizuki, Hideki" sort="Mochizuki, Hideki" uniqKey="Mochizuki H" first="Hideki" last="Mochizuki">Hideki Mochizuki</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Hattori, Nobutaka" sort="Hattori, Nobutaka" uniqKey="Hattori N" first="Nobutaka" last="Hattori">Nobutaka Hattori</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Iwama, Yoshitaka" sort="Iwama, Yoshitaka" uniqKey="Iwama Y" first="Yoshitaka" last="Iwama">Yoshitaka Iwama</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Cardiology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Daida, Hiroyuki" sort="Daida, Hiroyuki" uniqKey="Daida H" first="Hiroyuki" last="Daida">Hiroyuki Daida</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Department of Cardiology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author><author><name sortKey="Sakai, Michi" sort="Sakai, Michi" uniqKey="Sakai M" first="Michi" last="Sakai">Michi Sakai</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Health Informatics, Kyoto University School of Public Health</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Nakayama, Takeo" sort="Nakayama, Takeo" uniqKey="Nakayama T" first="Takeo" last="Nakayama">Takeo Nakayama</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Health Informatics, Kyoto University School of Public Health</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Kyoto</wicri:noRegion></affiliation></author><author><name sortKey="Mizuno, Yoshikuni" sort="Mizuno, Yoshikuni" uniqKey="Mizuno Y" first="Yoshikuni" last="Mizuno">Yoshikuni Mizuno</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Research Institute for diseases of Old Age, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>11 aut.</sZ></inist:fA14><country>Japon</country><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cardiac valvular disease</term><term>Dopamine agonist</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Valvular regurgitation</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Insuffisance valvulaire</term><term>Cardiopathie valvulaire</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Stimulant dopaminergique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To investigate the frequency of cardiac valve regurgitation related with low dose dopamine agonists in patients with Parkinson's disease (PD), echocardiograms were analyzed in 527 consecutive PD patients (448 patients treated with dopamine agonists, 79 patients never treated with dopamine agonists as age-matched controls). The frequency of mild or above mild regurgitation of the aortic valve (AR) was significantly higher in the cabergoline group (13.7%, P < 0.05) compared with the controls (2.5%). Odds ratio adjusted by age and sex for AR was significantly higher in the cabergoline group (OR, 6.45; 95% CI, 1.46-28.60; P = 0.01): odds ratio was significantly higher in patients treated with higher daily doses (OR, 14.41; 95% CI, 3.08-67.38; P = 0.0007) and higher cumulative doses (OR, 15.29; 95% CI, 3.19-73.18; P = 0.0006). No statistical difference was identified in the frequency of the tricuspid and mitral regurgitation. None of the other dopamine agonist groups including pergolide gave higher frequency or higher odds ratio compared with the controls. None of our patients showed severe regurgitation or was operated for valvular heart disease. The question as to whether or not longer duration of low dose dopamine agonist treatment would yield the same results needs further studies.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>23</s2></fA05><fA06><s2>7</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>The Frequency of Cardiac Valvular Regurgitation in Parkinson's Disease</s1></fA08><fA11 i1="01" i2="1"><s1>YAMASHIRO (Kazuo)</s1></fA11><fA11 i1="02" i2="1"><s1>KOMINE-KOBAYASHI (Miki)</s1></fA11><fA11 i1="03" i2="1"><s1>HATANO (Taku)</s1></fA11><fA11 i1="04" i2="1"><s1>URABE (Takao)</s1></fA11><fA11 i1="05" i2="1"><s1>MOCHIZUKI (Hideki)</s1></fA11><fA11 i1="06" i2="1"><s1>HATTORI (Nobutaka)</s1></fA11><fA11 i1="07" i2="1"><s1>IWAMA (Yoshitaka)</s1></fA11><fA11 i1="08" i2="1"><s1>DAIDA (Hiroyuki)</s1></fA11><fA11 i1="09" i2="1"><s1>SAKAI (Michi)</s1></fA11><fA11 i1="10" i2="1"><s1>NAKAYAMA (Takeo)</s1></fA11><fA11 i1="11" i2="1"><s1>MIZUNO (Yoshikuni)</s1></fA11><fA14 i1="01"><s1>Department of Neurology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Cardiology, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>7 aut.</sZ><sZ>8 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Health Informatics, Kyoto University School of Public Health</s1><s2>Kyoto</s2><s3>JPN</s3><sZ>9 aut.</sZ><sZ>10 aut.</sZ></fA14><fA14 i1="04"><s1>Research Institute for diseases of Old Age, Juntendo University School of Medicine</s1><s2>Tokyo</s2><s3>JPN</s3><sZ>11 aut.</sZ></fA14><fA20><s1>935-941</s1></fA20><fA21><s1>2008</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000200276040020</s5></fA43><fA44><s0>0000</s0><s1>© 2008 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>25 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>08-0305148</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>To investigate the frequency of cardiac valve regurgitation related with low dose dopamine agonists in patients with Parkinson's disease (PD), echocardiograms were analyzed in 527 consecutive PD patients (448 patients treated with dopamine agonists, 79 patients never treated with dopamine agonists as age-matched controls). The frequency of mild or above mild regurgitation of the aortic valve (AR) was significantly higher in the cabergoline group (13.7%, P < 0.05) compared with the controls (2.5%). Odds ratio adjusted by age and sex for AR was significantly higher in the cabergoline group (OR, 6.45; 95% CI, 1.46-28.60; P = 0.01): odds ratio was significantly higher in patients treated with higher daily doses (OR, 14.41; 95% CI, 3.08-67.38; P = 0.0007) and higher cumulative doses (OR, 15.29; 95% CI, 3.19-73.18; P = 0.0006). No statistical difference was identified in the frequency of the tricuspid and mitral regurgitation. None of the other dopamine agonist groups including pergolide gave higher frequency or higher odds ratio compared with the controls. None of our patients showed severe regurgitation or was operated for valvular heart disease. The question as to whether or not longer duration of low dose dopamine agonist treatment would yield the same results needs further studies.</s0></fC01><fC02 i1="01" i2="X"><s0>002B17</s0></fC02><fC02 i1="02" i2="X"><s0>002B17G</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Insuffisance valvulaire</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Valvular regurgitation</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Insuficiencia valvular</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Cardiopathie valvulaire</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Cardiac valvular disease</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Cardiopatía valvular</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Maladie de Parkinson</s0><s2>NM</s2><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Parkinson disease</s0><s2>NM</s2><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Parkinson enfermedad</s0><s2>NM</s2><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Pathologie du système nerveux</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Nervous system diseases</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Sistema nervioso patología</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Stimulant dopaminergique</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Dopamine agonist</s0><s5>09</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Estimulante dopaminérgico</s0><s5>09</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0><s5>37</s5></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0><s5>37</s5></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Pathologie de l'encéphale</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Cerebral disorder</s0><s5>38</s5></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Encéfalo patología</s0><s5>38</s5></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Syndrome extrapyramidal</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Extrapyramidal syndrome</s0><s5>39</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Extrapiramidal síndrome</s0><s5>39</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Maladie dégénérative</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Degenerative disease</s0><s5>40</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Enfermedad degenerativa</s0><s5>40</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Pathologie du système nerveux central</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Central nervous system disease</s0><s5>41</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Sistema nervosio central patología</s0><s5>41</s5></fC07><fN21><s1>189</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>Japon</li></country><settlement><li>Tokyo</li></settlement></list><tree><country name="Japon"><noRegion><name sortKey="Yamashiro, Kazuo" sort="Yamashiro, Kazuo" uniqKey="Yamashiro K" first="Kazuo" last="Yamashiro">Kazuo Yamashiro</name></noRegion><name sortKey="Daida, Hiroyuki" sort="Daida, Hiroyuki" uniqKey="Daida H" first="Hiroyuki" last="Daida">Hiroyuki Daida</name><name sortKey="Hatano, Taku" sort="Hatano, Taku" uniqKey="Hatano T" first="Taku" last="Hatano">Taku Hatano</name><name sortKey="Hattori, Nobutaka" sort="Hattori, Nobutaka" uniqKey="Hattori N" first="Nobutaka" last="Hattori">Nobutaka Hattori</name><name sortKey="Iwama, Yoshitaka" sort="Iwama, Yoshitaka" uniqKey="Iwama Y" first="Yoshitaka" last="Iwama">Yoshitaka Iwama</name><name sortKey="Komine Kobayashi, Miki" sort="Komine Kobayashi, Miki" uniqKey="Komine Kobayashi M" first="Miki" last="Komine-Kobayashi">Miki Komine-Kobayashi</name><name sortKey="Mizuno, Yoshikuni" sort="Mizuno, Yoshikuni" uniqKey="Mizuno Y" first="Yoshikuni" last="Mizuno">Yoshikuni Mizuno</name><name sortKey="Mochizuki, Hideki" sort="Mochizuki, Hideki" uniqKey="Mochizuki H" first="Hideki" last="Mochizuki">Hideki Mochizuki</name><name sortKey="Nakayama, Takeo" sort="Nakayama, Takeo" uniqKey="Nakayama T" first="Takeo" last="Nakayama">Takeo Nakayama</name><name sortKey="Sakai, Michi" sort="Sakai, Michi" uniqKey="Sakai M" first="Michi" last="Sakai">Michi Sakai</name><name sortKey="Urabe, Takao" sort="Urabe, Takao" uniqKey="Urabe T" first="Takao" last="Urabe">Takao Urabe</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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