Cardiovascular dysautonomia as a cause of falls in Parkinson's disease

Emilia Martignoni, Cristina Tassorelli, Giuseppe Nappi

Research output: Contribution to journalArticle

Abstract

Parkinson's disease (PD) patients have a ninefold increased risk of recurring falls compared to healthy controls. The risk of falling due to cardiovascular dysautonomia (CVD) is not quantifiable. But, CVD is an integral part of the disease and at least 20% of PD patients suffer from orthostatic hypotension, an expression of CVD. One way to reduce falls due to CVD in PD patients could be to give adequate information on the relationship between falling risks and cardiovascular dysautonomia to patients and their caregivers. Moreover, drugs given for PD might contribute to OH and we propose that education and non-pharmacological strategies for its treatment might be preferable, especially because of the low efficacy of drugs available for the treatment of OH and the frailty of elderly PD patients.

Original languageEnglish
Pages (from-to)195-204
Number of pages10
JournalParkinsonism and Related Disorders
Volume12
Issue number4
DOIs
Publication statusPublished - May 2006

Keywords

  • Cardiovascular dysautonomia
  • falls
  • Orthostatic hypotension
  • Parkinson's disease
  • Postprandial hypotension

ASJC Scopus subject areas

  • Ageing
  • Clinical Neurology
  • Neurology

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