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Ambulatory blood pressure in patients with Parkinson's disease without and with orthostatic hypotension

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Abstract

Non-invasive ambulatory recordings of blood pressure and heart rate were performed using a Spacelabs device during day and night periods in patients with Parkinson's disease with (n = 19) or without orthostatic hypotension (n = 19). In patients with orthostatic hypotension, the average systolic and diastolic blood pressure during the night (137 ± 5/80 ± 3 mmHg) was higher (p < 0.05) than during the day period (121 ± 3/76 ± 2 mmHg). In patients without orthostatic hypotension, a decrease in blood pressure was recorded during the nocturnal period. In patients with orthostatic hypotension, the blood pressure variability was higher (p < 0.05) during the day (systolic: 14.6 ± 1.3%; diastolic: 16.5 ± 1.0%) than during the night (systolic: 9.1 ± 0.8%; diastolic: 10.8 ± 1.1%). The blood pressure load (percentage of values above 140/90 mmHg) during the night was significantly higher than during the day for both systolic (41.2 ± 8.1 vs. 19.6 ± 4.7%) and diastolic blood pressure (24.9 ± 6.9 vs. 16.3 ± 4.9%). There was a decrease in heart rate in both groups during the night. A fall of 25 mmHg or more in systolic blood pressure after meals occurred in ten patients with orthostatic hypotension and in one patient without orthostatic hypotension. These results indicate that orthostatic hypotension in Parkinson's disease is associated with specific modifications of ambulatory blood pressure including loss of circadian rhythm of blood pressure, increased diurnal blood pressure variability and post-prandial hypotension.

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Authors and Affiliations

  1. Services de Médecine Interne et d'Hypertension Artérielle, Centre Hospitalier Universitaire Purpan, 31059, Toulouse Cedex, France

    Bernard Chamontin

  2. de Neurologie, Centre Hospitalier Universitaire Purpan, 31059, Toulouse Cedex, France

    André Rascol

  3. Laboratoire de Pharmacologie Médicale et Clinique, INSERM U317, Faculté de Médecine, 37 Allées Jules Guesde, 31073, Toulouse Cedex, France

    Jean-Michel Senard & Jean-Louis Montastruc

Authors
  1. Jean-Michel Senard
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  2. Bernard Chamontin
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  3. André Rascol
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  4. Jean-Louis Montastruc
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Senard, JM., Chamontin, B., Rascol, A. et al. Ambulatory blood pressure in patients with Parkinson's disease without and with orthostatic hypotension. Clinical Autonomic Research 2, 99–104 (1992). https://doi.org/10.1007/BF01819664

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  • DOI: https://doi.org/10.1007/BF01819664

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