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.

Biomedical Reports
|February 27, 2023
PubMed

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.

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