Time- and frequency-domain parameters of heart rate variability and sympathetic skin response in Parkinson’s disease

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Walter Maetzler - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE) (Autor:in)
  • Marie Karam - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE) (Autor:in)
  • Monika Fruhmann Berger - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE) (Autor:in)
  • Tanja Heger - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE) (Autor:in)
  • Corina Maetzler - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE) (Autor:in)
  • Heinz Ruediger - , Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Juliana Bronzova - , Universidade de Lisboa (Autor:in)
  • Patricia Pita Lobo - , Universidade de Lisboa (Autor:in)
  • Joaquim J. Ferreira - , Universidade de Lisboa (Autor:in)
  • Tjalf Ziemssen - , Klinik und Poliklinik für Neurologie, Universitätsklinikum Carl Gustav Carus Dresden (Autor:in)
  • Daniela Berg - , Eberhard Karls Universität Tübingen, Deutsches Zentrum für Neurodegenerative Erkrankungen e.V. (DZNE) (Autor:in)

Abstract

The autonomic nervous system (ANS) is regularly affected in Parkinson’s disease (PD). Information on autonomic dysfunction can be derived from e.g. altered heart rate variability (HRV) and sympathetic skin response (SSR). Such parameters can be quantified easily and measured repeatedly which might be helpful for evaluating disease progression and therapeutic outcome. In this 2-center study, HRV and SSR of 45 PD patients and 26 controls were recorded. HRV was measured during supine metronomic breathing and analyzed in time- and frequency-domains. SSR was evoked by repetitive auditory stimulation. Various ANS parameters were compared (1) between patients and healthy controls, (2) to clinical scales (Unified Parkinson’s disease rating scale, Mini-Mental State Examination, Becks Depression Inventory), and (3) to disease duration. Root mean square of successive differences (RMSSD) and low frequency/high frequency (LF/HF) ratio differed significantly between PD and controls. Both, HRV and SSR parameters showed low or no association with clinical scores. Time-domain parameters tended to be affected already at early PD stages but did not consistently change with longer disease duration. In contrast, frequency-domain parameters were not altered in early PD phases but tended to be lower (LF, LF/HF ratio), respectively higher (HF) with increasing disease duration. This report confirms previous results of altered ANS parameters in PD. In addition, it suggests that (1) these ANS parameters are not relevantly associated with motor, behavioral, and cognitive changes in PD, (2) time-domain parameters are useful for the assessment of early PD, and (3) frequency-domain parameters are more closely associated with disease duration.

Details

OriginalspracheEnglisch
Seiten (von - bis)419-425
Seitenumfang7
FachzeitschriftJournal of Neural Transmission
Jahrgang122
Ausgabenummer3
PublikationsstatusVeröffentlicht - März 2015
Peer-Review-StatusJa

Externe IDs

PubMed 25038873

Schlagworte

Ziele für nachhaltige Entwicklung

Schlagwörter

  • Autonomic nervous system, Heart rate variability, Neurodegeneration, Parkinson’s disease, Progression, Sympathetic skin response