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Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis
Recent evidence suggests that the vagus nerve and autonomic dysfunction play an important role in the pathogenesis of Parkinson’s disease. Using heart rate variability analysis, the autonomic modulation of cardiac activity can be investigated. This meta-analysis aims to assess if analysis of heart r...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394422/ https://www.ncbi.nlm.nih.gov/pubmed/34439578 http://dx.doi.org/10.3390/brainsci11080959 |
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author | Heimrich, Konstantin G. Lehmann, Thomas Schlattmann, Peter Prell, Tino |
author_facet | Heimrich, Konstantin G. Lehmann, Thomas Schlattmann, Peter Prell, Tino |
author_sort | Heimrich, Konstantin G. |
collection | PubMed |
description | Recent evidence suggests that the vagus nerve and autonomic dysfunction play an important role in the pathogenesis of Parkinson’s disease. Using heart rate variability analysis, the autonomic modulation of cardiac activity can be investigated. This meta-analysis aims to assess if analysis of heart rate variability may indicate decreased parasympathetic tone in patients with Parkinson’s disease. The MEDLINE, EMBASE and Cochrane Central databases were searched on 31 December 2020. Studies were included if they: (1) were published in English, (2) analyzed idiopathic Parkinson’s disease and healthy adult controls, and (3) reported at least one frequency- or time-domain heart rate variability analysis parameter, which represents parasympathetic regulation. We included 47 studies with 2772 subjects. Random-effects meta-analyses revealed significantly decreased effect sizes in Parkinson patients for the high-frequency spectral component (HFms(2)) and the short-term measurement of the root mean square of successive normal-to-normal interval differences (RMSSD). However, heterogeneity was high, and there was evidence for publication bias regarding HFms(2). There is some evidence that a more advanced disease leads to an impaired parasympathetic regulation. In conclusion, short-term measurement of RMSSD is a reliable parameter to assess parasympathetically impaired cardiac modulation in Parkinson patients. The measurement should be performed with a predefined respiratory rate. |
format | Online Article Text |
id | pubmed-8394422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83944222021-08-28 Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis Heimrich, Konstantin G. Lehmann, Thomas Schlattmann, Peter Prell, Tino Brain Sci Systematic Review Recent evidence suggests that the vagus nerve and autonomic dysfunction play an important role in the pathogenesis of Parkinson’s disease. Using heart rate variability analysis, the autonomic modulation of cardiac activity can be investigated. This meta-analysis aims to assess if analysis of heart rate variability may indicate decreased parasympathetic tone in patients with Parkinson’s disease. The MEDLINE, EMBASE and Cochrane Central databases were searched on 31 December 2020. Studies were included if they: (1) were published in English, (2) analyzed idiopathic Parkinson’s disease and healthy adult controls, and (3) reported at least one frequency- or time-domain heart rate variability analysis parameter, which represents parasympathetic regulation. We included 47 studies with 2772 subjects. Random-effects meta-analyses revealed significantly decreased effect sizes in Parkinson patients for the high-frequency spectral component (HFms(2)) and the short-term measurement of the root mean square of successive normal-to-normal interval differences (RMSSD). However, heterogeneity was high, and there was evidence for publication bias regarding HFms(2). There is some evidence that a more advanced disease leads to an impaired parasympathetic regulation. In conclusion, short-term measurement of RMSSD is a reliable parameter to assess parasympathetically impaired cardiac modulation in Parkinson patients. The measurement should be performed with a predefined respiratory rate. MDPI 2021-07-21 /pmc/articles/PMC8394422/ /pubmed/34439578 http://dx.doi.org/10.3390/brainsci11080959 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Systematic Review Heimrich, Konstantin G. Lehmann, Thomas Schlattmann, Peter Prell, Tino Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis |
title | Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis |
title_full | Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis |
title_fullStr | Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis |
title_full_unstemmed | Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis |
title_short | Heart Rate Variability Analyses in Parkinson’s Disease: A Systematic Review and Meta-Analysis |
title_sort | heart rate variability analyses in parkinson’s disease: a systematic review and meta-analysis |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394422/ https://www.ncbi.nlm.nih.gov/pubmed/34439578 http://dx.doi.org/10.3390/brainsci11080959 |
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