R-R interval variation in Parkinson's disease and multiple system atrophy

被引:15
作者
Gurevich, TY [1 ]
Groozman, GB [1 ]
Giladi, N [1 ]
Drory, VE [1 ]
Hausdorff, JM [1 ]
Korczyn, AD [1 ]
机构
[1] Tel Aviv Univ, Sackler Sch Med, Dept Neurol, Tel Aviv Sourasky Med Ctr, IL-69978 Tel Aviv, Israel
来源
ACTA NEUROLOGICA SCANDINAVICA | 2004年 / 109卷 / 04期
关键词
Parkinson's disease; multiple system atrophy; heart rate variability; autonomic function;
D O I
10.1111/j.1600-0404.2004.00226.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective - To investigate whether the cardiac R-R interval variation (RRIV) is of value in differentiating patients with Parkinson's disease (PD) from multiple system atrophy (MSA). Background - RRIV assessment is a simple procedure, reflecting mainly vagal efferent activity. Reduced RRIV was reported in MSA. Methods - RRIV at rest and after 120 s of deep breathing was assessed blindly to clinical diagnosis in 22 PD and 20 MSA patients. The results were compared with data from 23 age-matched healthy subjects. Results - RRIV at rest was 7.1 +/- 2.7% in PD and 9.7 +/- 7.2% in MSA, increasing after deep breathing to 11.2 +/- 6.3 and 12.3 +/- 6.6% correspondingly. The frequency of the RRIV abnormalities in the PD group (4/22, 18.2%) and MSA (6/20, 30%) were higher than among controls (P < 0.004). Conclusions - RRIV, either at rest or after deep breathing, may be abnormal both in PD and MSA, but does not distinguish between these disorders.
引用
收藏
页码:276 / 279
页数:4
相关论文
共 12 条
[1]   Sympathetic skin response and R-R interval variability in multiple system atrophy and idiopathic Parkinson's disease [J].
Bordet, R ;
Benhadjali, J ;
Destee, A ;
Hurtevent, JF ;
Bourriez, JL ;
Guieu, JD .
MOVEMENT DISORDERS, 1996, 11 (03) :268-272
[2]   Basal ganglia metabolite concentrations in idiopathic Parkinson's disease and multiple system atrophy measured by proton magnetic resonance spectroscopy [J].
Clarke, CE ;
Lowry, M .
EUROPEAN JOURNAL OF NEUROLOGY, 2000, 7 (06) :661-665
[3]   Differentiation of Parkinson's disease and multiple system atrophy in early disease stages by means of I-123-MIBG-SPECT [J].
Druschky, A ;
Hilz, MJ ;
Platsch, G ;
Radespiel-Tröger, M ;
Druschky, K ;
Kuwert, T ;
Neundörfer, B .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2000, 175 (01) :3-12
[4]   STRIATAL HYPOMETABOLISM DISTINGUISHES STRIATONIGRAL DEGENERATION FROM PARKINSONS-DISEASE [J].
EIDELBERG, D ;
TAKIKAWA, S ;
MOELLER, JR ;
DHAWAN, V ;
REDINGTON, K ;
CHALY, T ;
ROBESON, W ;
DAHL, JR ;
MARGOULEFF, D ;
FAZZINI, E ;
PRZEDBORSKI, S ;
FAHN, S .
ANNALS OF NEUROLOGY, 1993, 33 (05) :518-527
[5]   Diagnostic criteria for Parkinson disease [J].
Gelb, DJ ;
Oliver, E ;
Gilman, S .
ARCHIVES OF NEUROLOGY, 1999, 56 (01) :33-39
[6]  
Giladi N, 2000, MUSCLE NERVE, V23, P731, DOI 10.1002/(SICI)1097-4598(200005)23:5<731::AID-MUS10>3.0.CO
[7]  
2-#
[8]   Consensus statement on the diagnosis of multiple system atrophy [J].
Gilman, S ;
Low, PA ;
Quinn, N ;
Albanese, A ;
Ben-Shlomo, Y ;
Fowler, CJ ;
Kaufman, H ;
Klockgether, T ;
Lang, AE ;
Lantos, PL ;
Litvan, I ;
Mathias, CJ ;
Oliver, E ;
Robertson, D ;
Schatz, I ;
Wenning, GK .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 1999, 163 (01) :94-98
[9]  
HOMMERG B, 2001, MOVEMENT DISORD, V16, P217
[10]   Distinction of idiopathic Parkinson's disease from multiple-system atrophy by stimulation of growth-hormone release with clonidine [J].
Kimber, JR ;
Watson, L ;
Mathias, CJ .
LANCET, 1997, 349 (9069) :1877-1881