Movement Disorders (revue)

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Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists

Identifieur interne : 001A29 ( PascalFrancis/Corpus ); précédent : 001A28; suivant : 001A30

Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists

Auteurs : Ji-Youn Kim ; EUN JOO CHUNG ; SEUNG WOO PARK ; WON YONG LEE

Source :

RBID : Pascal:06-0435109

Descripteurs français

English descriptors

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.

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A03   1    @0 Mov. disord.
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A08 01  1  ENG  @1 Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists
A11 01  1    @1 KIM (Ji-Youn)
A11 02  1    @1 EUN JOO CHUNG
A11 03  1    @1 SEUNG WOO PARK
A11 04  1    @1 WON YONG LEE
A14 01      @1 Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine @2 Seoul @3 KOR @Z 1 aut. @Z 2 aut. @Z 4 aut.
A14 02      @1 Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine @2 Seoul @3 KOR @Z 3 aut.
A20       @1 1261-1264
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000142193570400
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 17 ref.
A47 01  1    @0 06-0435109
A60       @1 P @3 CC
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
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C07 02  X  ENG  @0 Cerebral disorder @5 38
C07 02  X  SPA  @0 Encéfalo patología @5 38
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C07 03  X  SPA  @0 Extrapiramidal síndrome @5 39
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C07 04  X  SPA  @0 Enfermedad degenerativa @5 40
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Format Inist (serveur)

NO : PASCAL 06-0435109 INIST
ET : Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists
AU : KIM (Ji-Youn); EUN JOO CHUNG; SEUNG WOO PARK; WON YONG LEE
AF : Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine/Seoul/Corée, République de (1 aut., 2 aut., 4 aut.); Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine/Seoul/Corée, République de (3 aut.)
DT : Publication en série; Courte communication, note brève; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 8; Pp. 1261-1264; Bibl. 17 ref.
LA : Anglais
EA : 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.
CC : 002B17; 002B17G; 002B17A03
FD : Système nerveux pathologie; Cardiopathie valvulaire; Parkinson maladie; Traitement; Ergot dérivé; Stimulant dopaminergique; Bromocriptine; Pergolide
FG : Appareil circulatoire pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie
ED : Nervous system diseases; Cardiac valvular disease; Parkinson disease; Treatment; Ergot derivatives; Dopamine agonist; Bromocriptine; Pergolide
EG : Cardiovascular disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Sistema nervioso patología; Cardiopatía valvular; Parkinson enfermedad; Tratamiento; Ergot derivado; Estimulante dopaminérgico; Bromocriptina; Pergolida
LO : INIST-20953.354000142193570400
ID : 06-0435109

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Pascal:06-0435109

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<s5>12</s5>
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<s2>FR</s2>
<s5>13</s5>
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<s0>Aparato circulatorio patología</s0>
<s5>37</s5>
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<fC07 i1="02" i2="X" l="FRE">
<s0>Encéphale pathologie</s0>
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<s0>Cerebral disorder</s0>
<s5>38</s5>
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<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</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>Système nerveux central pathologie</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>289</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
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<s1>OTO</s1>
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<NO>PASCAL 06-0435109 INIST</NO>
<ET>Valvular heart disease in Parkinson's disease treated with ergot derivative dopamine agonists</ET>
<AU>KIM (Ji-Youn); EUN JOO CHUNG; SEUNG WOO PARK; WON YONG LEE</AU>
<AF>Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine/Seoul/Corée, République de (1 aut., 2 aut., 4 aut.); Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine/Seoul/Corée, République de (3 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 8; Pp. 1261-1264; Bibl. 17 ref.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B17; 002B17G; 002B17A03</CC>
<FD>Système nerveux pathologie; Cardiopathie valvulaire; Parkinson maladie; Traitement; Ergot dérivé; Stimulant dopaminergique; Bromocriptine; Pergolide</FD>
<FG>Appareil circulatoire pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Cardiac valvular disease; Parkinson disease; Treatment; Ergot derivatives; Dopamine agonist; Bromocriptine; Pergolide</ED>
<EG>Cardiovascular disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Sistema nervioso patología; Cardiopatía valvular; Parkinson enfermedad; Tratamiento; Ergot derivado; Estimulante dopaminérgico; Bromocriptina; Pergolida</SD>
<LO>INIST-20953.354000142193570400</LO>
<ID>06-0435109</ID>
</server>
</inist>
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