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연세대학교 의과대학 Yonsei Medical Journal Yonsei Medical Journal 제55권 제5호
발행연도
2014.1
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1,297 - 1,302 (6page)

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Purpose: Impaired cardiovascular autonomic regulation is a non-motor symptom of Parkinson’s disease (PD) and may increase long-term morbidity. This study appliedfrequency-domain analysis of heart rate variability (HRV) to understand the progression of sympathetic and parasympathetic cardiac regulation in patients with PD. Materials and Methods: In this cross-sectional study, 21 male and 11 female Taiwanese patients with advanced PD and 32 healthy gender- and age-matched subjects were enrolled. To minimize artifacts due to subject motion, daytime electrocardiogramsfor 5 minutes were recorded in awake patients during levodopa-on periods and controls. Using fast Fourier transformation, heart rate variables were quantified into a high-frequency power component [0.15--0.45 Hz, considered to reflect vagal (parasympathetic) regulation], low-frequency power component (0.04--0.15 Hz, reflecting mixed sympathetic and parasympathetic regulation), and low-frequency power in normalized units (reflecting sympathetic regulation). The significance of between-group differences was analyzed using the paired t-test. Pearson correlation analysis and stepwise regression analysis were applied to assessthe correlation of patient age, PD duration, and disease severity (represented by the Unified Parkinson’s Disease Rating Scale) with each heart rate variables. Results: Impaired HRV is significantly correlated with the duration of PD, but not with disease severity and patient age. Meanwhile, parasympathetic heart rate variableis more likely than sympathetic heart rate variable to be affected by PD. Conclusion:PD is more likely to affect cardiac parasympathetic regulation than sympatheticregulation by time and the heart rate variables have the association with Parkinsonian motor symptom duration.

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