Cardiac denervation occurs independent of orthostatic hypotension and impaired heart rate variability in Parkinson's disease
C.A Haensch, H Lerch, J Jörg, S Isenmann · Aktuelle Neurologie · 2008 · Heft 09
Bibliografische Angaben
Zusammenfassung
Patients with idiopathic Parkinson's Disease (PD) have impaired sympathetically mediated neurocirculatory innervation. Here we analyzed the correlation between cardiac 123I-metaiodobenzylguanidine (MIBG) uptake, orthostatic hypotension and heart rate variability in patients with PD. Orthostatic hypotension (OH) as a hallmark of sympathetic neurocirculatory failure was found with a high prevalence in PD. PD is known to affect the cardiac innervation, resulting in a suppressed heart rate variability and a postganglionic noradrenergic lesion. We measured continuous arterial blood pressure in rest and 70 head-up til…