The deterioration of cardiovascular reflexes in Parkinson's disease
Identifieur interne : 001D27 ( Main/Exploration ); précédent : 001D26; suivant : 001D28The deterioration of cardiovascular reflexes in Parkinson's disease
Auteurs : A. Mesec [Slovénie] ; S. Šega [Slovénie] ; M. Trošt [Slovénie] ; T. Poga Nik [Slovénie]Source :
- Acta Neurologica Scandinavica [ 0001-6314 ] ; 1999-11.
English descriptors
Abstract
Objectives‐ We have investigated the deterioration of cardiovascular reflexes in Parkinson's disease. Patients and methods ‐ In a group of 20 patients with Parkinson's disease (PD) and in a group of 10 age‐matched control subjects a battery of cardiovascular reflex (CVR) tests (Valsalva manoeuvre, deep breathing test, handgrip test, orthostatic test) was repeated after 3 years. Results‐ In PD patients at deep breathing test, at Valsalva manoeuvre and at orthostatic test the heart rate response decreased significantly (P<0.05). The impairment of systolic and diastolic blood pressure response at orthostatic test was significant as well (P<0.005). At hand grip test no significant changes in heart rate and blood pressure response were found. In control subjects only heart rate response at orthostatic test decreased significantly after 3 years. Conclusion‐ Our results show progression of an impairment of sympathetic and parasympathetic control of the cardiovascular functions in patients with PD over a period of 3 years.
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DOI: 10.1111/j.1600-0404.1999.tb00399.x
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Objectives‐ We have investigated the deterioration of cardiovascular reflexes in Parkinson's disease. Patients and methods ‐ In a group of 20 patients with Parkinson's disease (PD) and in a group of 10 age‐matched control subjects a battery of cardiovascular reflex (CVR) tests (Valsalva manoeuvre, deep breathing test, handgrip test, orthostatic test) was repeated after 3 years. Results‐ In PD patients at deep breathing test, at Valsalva manoeuvre and at orthostatic test the heart rate response decreased significantly (P<0.05). The impairment of systolic and diastolic blood pressure response at orthostatic test was significant as well (P<0.005). At hand grip test no significant changes in heart rate and blood pressure response were found. In control subjects only heart rate response at orthostatic test decreased significantly after 3 years. Conclusion‐ Our results show progression of an impairment of sympathetic and parasympathetic control of the cardiovascular functions in patients with PD over a period of 3 years.</div>
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