Modification of respiratory function parameters in patients with severe Parkinson's disease
Respiratory dysfunction remains one of the most common causes of death in patients with complicated Parkinson's disease (PD). The aim of this study was to investigate pulmonary function in fluctuating PD patients during "on" and "off" states of the disease. We studied 12 flu...
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Veröffentlicht in: | Neurological sciences 2002-09, Vol.23 Suppl 2, p.S69-s70 |
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creator | De Pandis, M F Starace, A Stefanelli, F Marruzzo, P Meoli, I De Simone, G Prati, R Stocchi, F |
description | Respiratory dysfunction remains one of the most common causes of death in patients with complicated Parkinson's disease (PD). The aim of this study was to investigate pulmonary function in fluctuating PD patients during "on" and "off" states of the disease. We studied 12 fluctuating, non-smoking PD patients (H&Y stages 3-5) without a history of lung or cardiovascular disease; all patients underwent Hoehn and Yahr scale (H&Y) and Unified Parkinson Disease Rating Scale (UPDRS items 18-31) to evaluate extrapyramidal impairment, as well as pulmonary function tests (PFT) and arterial blood gas analyses to assess respiratory function. All evaluations were performed during a stable on state of disease and in an off state produced by 12 hours of therapy withdrawal. A restrictive pattern of flow-volume loop was observed both in on and off states of disease. In the off state, we found a significant worsening in both FEV1 and FVC; the FEV1/FVC ratio was unmodified. These results suggest a restrictive pattern of flow-volume loop in these patients. |
doi_str_mv | 10.1007/s100720200074 |
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The aim of this study was to investigate pulmonary function in fluctuating PD patients during "on" and "off" states of the disease. We studied 12 fluctuating, non-smoking PD patients (H&Y stages 3-5) without a history of lung or cardiovascular disease; all patients underwent Hoehn and Yahr scale (H&Y) and Unified Parkinson Disease Rating Scale (UPDRS items 18-31) to evaluate extrapyramidal impairment, as well as pulmonary function tests (PFT) and arterial blood gas analyses to assess respiratory function. All evaluations were performed during a stable on state of disease and in an off state produced by 12 hours of therapy withdrawal. A restrictive pattern of flow-volume loop was observed both in on and off states of disease. In the off state, we found a significant worsening in both FEV1 and FVC; the FEV1/FVC ratio was unmodified. These results suggest a restrictive pattern of flow-volume loop in these patients.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s100720200074</identifier><identifier>PMID: 12548348</identifier><language>eng</language><publisher>Italy: Springer Nature B.V</publisher><subject>Aged ; Female ; Humans ; Male ; Middle Aged ; Neurology ; Neurosciences ; Parkinson Disease - complications ; Parkinson Disease - physiopathology ; Parkinson's disease ; Pulmonary Ventilation ; Respiratory Function Tests ; Respiratory Insufficiency - etiology ; Respiratory Insufficiency - physiopathology ; Severity of Illness Index</subject><ispartof>Neurological sciences, 2002-09, Vol.23 Suppl 2, p.S69-s70</ispartof><rights>Copyright Springer-Verlag 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c316t-47bd6c1fcb4531a399d5ac4d6dc32bb93d8ca6eda35fd905e95d2a7c96a755523</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12548348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De Pandis, M F</creatorcontrib><creatorcontrib>Starace, A</creatorcontrib><creatorcontrib>Stefanelli, F</creatorcontrib><creatorcontrib>Marruzzo, P</creatorcontrib><creatorcontrib>Meoli, I</creatorcontrib><creatorcontrib>De Simone, G</creatorcontrib><creatorcontrib>Prati, R</creatorcontrib><creatorcontrib>Stocchi, F</creatorcontrib><title>Modification of respiratory function parameters in patients with severe Parkinson's disease</title><title>Neurological sciences</title><addtitle>Neurol Sci</addtitle><description>Respiratory dysfunction remains one of the most common causes of death in patients with complicated Parkinson's disease (PD). 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The aim of this study was to investigate pulmonary function in fluctuating PD patients during "on" and "off" states of the disease. We studied 12 fluctuating, non-smoking PD patients (H&Y stages 3-5) without a history of lung or cardiovascular disease; all patients underwent Hoehn and Yahr scale (H&Y) and Unified Parkinson Disease Rating Scale (UPDRS items 18-31) to evaluate extrapyramidal impairment, as well as pulmonary function tests (PFT) and arterial blood gas analyses to assess respiratory function. All evaluations were performed during a stable on state of disease and in an off state produced by 12 hours of therapy withdrawal. A restrictive pattern of flow-volume loop was observed both in on and off states of disease. In the off state, we found a significant worsening in both FEV1 and FVC; the FEV1/FVC ratio was unmodified. 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subjects | Aged Female Humans Male Middle Aged Neurology Neurosciences Parkinson Disease - complications Parkinson Disease - physiopathology Parkinson's disease Pulmonary Ventilation Respiratory Function Tests Respiratory Insufficiency - etiology Respiratory Insufficiency - physiopathology Severity of Illness Index |
title | Modification of respiratory function parameters in patients with severe Parkinson's disease |
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