Parkinson's disease and cardiovascular involvement: Edifying insights (Review)
Laura Grosu1,2, Alin Ionut Grosu3,4, Dana Crisan3,5
1Department of Neurology, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Insights
Parkinson's disease (PD) patients frequently experience cardiovascular issues, including cardiac dysautonomia and increased risk of heart disease. Treatments for PD can also cause adverse cardiovascular reactions, highlighting a complex relationship.
Area of Science:
- Neurology
- Cardiology
- Pharmacology
Background:
- Parkinson's disease (PD) is a common neurodegenerative disorder with significant impacts on patient quality of life, morbidity, and survival.
- Cardiovascular diseases (CVDs) are a leading cause of mortality globally and frequently co-exist with PD.
- Cardiac dysautonomia, including hypotension and hypertension, is a prevalent cardiovascular manifestation in PD patients.
Purpose of the Study:
- To provide a comprehensive review of current data on overlapping cardiovascular diseases in patients with Parkinson's disease.
- To explore the mechanisms underlying cardiovascular manifestations in PD.
- To examine the cardiovascular adverse reactions associated with PD medications.
Main Methods:
- Literature review of existing studies on cardiovascular disease in Parkinson's disease.
- Analysis of data on cardiac dysautonomia, ischemic heart disease, heart failure, and arrhythmias in PD patients.
- Review of research on the cardiovascular side effects of PD medications like levodopa and dopamine agonists.
Main Results:
- Cardiac dysautonomia is a common cardiovascular issue in PD patients.
- PD patients have an elevated risk for ischemic heart disease, heart failure, and arrhythmias.
- Medications used to treat PD can lead to adverse cardiovascular events, though mechanisms require further study.
Conclusions:
- There is a significant overlap between Parkinson's disease and cardiovascular diseases.
- Understanding the interplay between PD, its treatments, and cardiovascular health is crucial for patient management.
- Further research is needed to elucidate the mechanisms linking PD and CVDs and to mitigate medication-related adverse effects.
Abstract:
Parkinson's disease (PD) is one of the most common neurodegenerative illnesses, and is a major healthcare burden with prodigious consequences on life-quality, morbidity, and survival. Cardiovascular diseases are the leading cause of mortality worldwide and growing evidence frequently reports their co-existence with PD. Cardiac dysautonomia due to autonomic nervous system malfunction is the most prevalent type of cardiovascular manifestation in these patients, comprising orthostatic and postprandial hypotension, along with supine and postural hypertension. Moreover, many studies have endorsed the risk of patients with PD to develop ischemic heart disease, heart failure and even arrhythmias, but the underlying mechanisms are not entirely clear. As importantly, the medication used in treating PD, such as levodopa, dopamine agonists or anticholinergic agents, is also responsible for cardiovascular adverse reactions, but further studies are required to elucidate the underlying mechanisms. The purpose of this review was to provide a comprehensive overview of current available data regarding the overlapping cardiovascular disease in patients with PD.
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