Cardiac autonomic denervation in Parkinson's disease is linked to REM sleep behavior disorder
Identifieur interne : 000376 ( Main/Exploration ); précédent : 000375; suivant : 000377Cardiac autonomic denervation in Parkinson's disease is linked to REM sleep behavior disorder
Auteurs : Ronald B. Postuma [Canada] ; Jacques Montplaisir [Canada] ; Paola Lanfranchi [Canada] ; Hélène Blais [Canada] ; Sylvie Rompré [Canada] ; Roberto Colombo [Italie] ; Jean-François Gagnon [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-07.
English descriptors
Abstract
Background:: Recent studies have suggested a close connection between autonomic dysfunction and rapid eye movement sleep behavior disorder, which differs in nature from other early‐stage markers of Parkinson's disease. In this study we examined the relationship between rapid eye movement sleep behavior disorder and autonomic dysfunction in Parkinson's disease as measured by cardiac beat‐to‐beat variability. Methods:: In 53 patients with Parkinson's disease and 36 controls, electrocardiographic trace from a polysomnogram was assessed for measures of beat‐to‐beat RR variability including RR‐standard deviation and frequency domains (low‐ and high‐frequency components). Results were compared between patients with Parkinson's disease and controls, and between patients with Parkinson's disease with and without rapid eye movement sleep behavior disorder. Results:: On numerous cardiac autonomic measures, patients with Parkinson's disease showed clear abnormalities compared with controls. However, these abnormalities were confined only to those patients with associated rapid eye movement sleep behavior; those without were not different than controls. Conclusions:: As with other clinical autonomic variables, cardiac autonomic denervation is predominantly associated not with Parkinson's disease itself, but with the presence of rapid eye movement sleep behavior disorder. © 2011 Movement Disorder Society
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DOI: 10.1002/mds.23677
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-07">2011-07</date><biblScope unit="volume">26</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1529">1529</biblScope><biblScope unit="page" to="1533">1533</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D10A7814EA3924A78024F733A30646BB5407031F</idno><idno type="DOI">10.1002/mds.23677</idno><idno type="ArticleID">MDS23677</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>autonomic</term><term>rapid eye movement sleep behavior disorder</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background:: Recent studies have suggested a close connection between autonomic dysfunction and rapid eye movement sleep behavior disorder, which differs in nature from other early‐stage markers of Parkinson's disease. In this study we examined the relationship between rapid eye movement sleep behavior disorder and autonomic dysfunction in Parkinson's disease as measured by cardiac beat‐to‐beat variability. Methods:: In 53 patients with Parkinson's disease and 36 controls, electrocardiographic trace from a polysomnogram was assessed for measures of beat‐to‐beat RR variability including RR‐standard deviation and frequency domains (low‐ and high‐frequency components). Results were compared between patients with Parkinson's disease and controls, and between patients with Parkinson's disease with and without rapid eye movement sleep behavior disorder. Results:: On numerous cardiac autonomic measures, patients with Parkinson's disease showed clear abnormalities compared with controls. However, these abnormalities were confined only to those patients with associated rapid eye movement sleep behavior; those without were not different than controls. Conclusions:: As with other clinical autonomic variables, cardiac autonomic denervation is predominantly associated not with Parkinson's disease itself, but with the presence of rapid eye movement sleep behavior disorder. © 2011 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Canada</li><li>Italie</li></country><region><li>Québec</li></region><settlement><li>Montréal</li></settlement><orgName><li>Université McGill</li><li>Université du Québec à Montréal</li></orgName></list><tree><country name="Canada"><region name="Québec"><name sortKey="Postuma, Ronald B" sort="Postuma, Ronald B" uniqKey="Postuma R" first="Ronald B." last="Postuma">Ronald B. Postuma</name></region><name sortKey="Blais, Helene" sort="Blais, Helene" uniqKey="Blais H" first="Hélène" last="Blais">Hélène Blais</name><name sortKey="Gagnon, Jean Rancois" sort="Gagnon, Jean Rancois" uniqKey="Gagnon J" first="Jean-François" last="Gagnon">Jean-François Gagnon</name><name sortKey="Gagnon, Jean Rancois" sort="Gagnon, Jean Rancois" uniqKey="Gagnon J" first="Jean-François" last="Gagnon">Jean-François Gagnon</name><name sortKey="Lanfranchi, Paola" sort="Lanfranchi, Paola" uniqKey="Lanfranchi P" first="Paola" last="Lanfranchi">Paola Lanfranchi</name><name sortKey="Lanfranchi, Paola" sort="Lanfranchi, Paola" uniqKey="Lanfranchi P" first="Paola" last="Lanfranchi">Paola Lanfranchi</name><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name><name sortKey="Postuma, Ronald B" sort="Postuma, Ronald B" uniqKey="Postuma R" first="Ronald B." last="Postuma">Ronald B. Postuma</name><name sortKey="Rompre, Sylvie" sort="Rompre, Sylvie" uniqKey="Rompre S" first="Sylvie" last="Rompré">Sylvie Rompré</name></country><country name="Italie"><noRegion><name sortKey="Colombo, Roberto" sort="Colombo, Roberto" uniqKey="Colombo R" first="Roberto" last="Colombo">Roberto Colombo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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