New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study
- Autores
- Pavy Le Traon, Anne; Piedvache, A.; Pérez Lloret, Santiago; Calandra Buonara, G.; Cochen De Cock, V.; Colosimo, C.; Cortelli, P.; Debs, R.; Duerr, S.; Fanciulli, A.; Foubert Samier, A.; Gerdelat, Angela; Gurevich, T.; Krismer, F.; Poewe, W.; Tison, Francois; Tranchant, C.; Wenning, G.; Meissner, Wassilios G.; Rascol, Olivier
- Año de publicación
- 2015
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Objectives: Orthostatic hypotension (OH) is a key feature of multiple system atrophy (MSA), a fatal progressive neurodegenerative disorder associated with autonomic failure, parkinsonism and ataxia. This study aims (1) to determine the clinical spectrum of OH in a large European cohort of patients with MSA and (2) to investigate whether a prolonged postural challenge increases the sensitivity to detect OH in MSA. Methods: Assessment of OH during a 10 min orthostatic test in 349 patients with MSA from seven centres of the European MSA-Study Group (age: 63.6±8.8 years; disease duration: 4.2±2.6 years). Assessment of a possible relationship between OH and MSA subtype (P with predominant parkinsonism or C with predominant cerebellar ataxia), Unified MSA Rating Scale (UMSARS) scores and drug intake. Results: 187 patients (54%) had moderate (>20 mm Hg (systolic blood pressure (SBP)) and/or >10 mm Hg (diastolic blood pressure (DBP)) or severe OH (>30 mm Hg (SBP) and/or >15 mm Hg (DBP)) within 3 min and 250 patients (72%) within 10 min. OH magnitude was significantly associated with disease severity (UMSARS I, II and IV), orthostatic symptoms (UMSARS I) and supine hypertension. OH severity was not associated with MSA subtype. Drug intake did not differ according to OH magnitude except for antihypertensive drugs being less frequently, and antihypotensive drugs more frequently, prescribed in severe OH. Conclusions: This is the largest study of OH in patients with MSA. Our data suggest that the sensitivity to pick up OH increases substantially by a prolonged 10 min orthostatic challenge. These results will help to improve OH management and the design of future clinical trials.
Fil: Pavy Le Traon, Anne. University Hospital of Toulouse; Francia. Inserm; Francia
Fil: Piedvache, A.. Université Paul Sabatier; Francia
Fil: Pérez Lloret, Santiago. University Hospital of Toulouse; Francia. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; Argentina
Fil: Calandra Buonara, G.. Università di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; Italia
Fil: Cochen De Cock, V.. University Hospital of Toulouse; Francia. University of Montpellier; Francia
Fil: Colosimo, C.. Sapienza Università di Roma; Italia
Fil: Cortelli, P.. Università di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; Italia
Fil: Debs, R.. University Hospital of Toulouse; Francia
Fil: Duerr, S.. Universidad de Innsbruck; Austria
Fil: Fanciulli, A.. Universidad de Innsbruck; Austria
Fil: Foubert Samier, A.. Centre Hospitalier Universitaire de Bordeaux; Francia. Universite de Bordeaux; Francia
Fil: Gerdelat, Angela. University Hospital of Toulouse; Francia
Fil: Gurevich, T.. Tel-Aviv University; Israel
Fil: Krismer, F.. Universidad de Innsbruck; Austria
Fil: Poewe, W.. Universidad de Innsbruck; Austria
Fil: Tison, Francois. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; Francia
Fil: Tranchant, C.. University Hospital Hautepierre; Francia
Fil: Wenning, G.. Universidad de Innsbruck; Austria
Fil: Meissner, Wassilios G.. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; Francia
Fil: Rascol, Olivier. University Hospital of Toulouse; Francia - Materia
-
Atrofia Multisistémica
Hipotensión Ortostática
Reacciones Adversas Medicamentosas - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
- Repositorio
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/38852
Ver los metadatos del registro completo
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oai:ri.conicet.gov.ar:11336/38852 |
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New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort studyPavy Le Traon, AnnePiedvache, A.Pérez Lloret, SantiagoCalandra Buonara, G.Cochen De Cock, V.Colosimo, C.Cortelli, P.Debs, R.Duerr, S.Fanciulli, A.Foubert Samier, A.Gerdelat, AngelaGurevich, T.Krismer, F.Poewe, W.Tison, FrancoisTranchant, C.Wenning, G.Meissner, Wassilios G.Rascol, OlivierAtrofia MultisistémicaHipotensión OrtostáticaReacciones Adversas Medicamentosashttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3Objectives: Orthostatic hypotension (OH) is a key feature of multiple system atrophy (MSA), a fatal progressive neurodegenerative disorder associated with autonomic failure, parkinsonism and ataxia. This study aims (1) to determine the clinical spectrum of OH in a large European cohort of patients with MSA and (2) to investigate whether a prolonged postural challenge increases the sensitivity to detect OH in MSA. Methods: Assessment of OH during a 10 min orthostatic test in 349 patients with MSA from seven centres of the European MSA-Study Group (age: 63.6±8.8 years; disease duration: 4.2±2.6 years). Assessment of a possible relationship between OH and MSA subtype (P with predominant parkinsonism or C with predominant cerebellar ataxia), Unified MSA Rating Scale (UMSARS) scores and drug intake. Results: 187 patients (54%) had moderate (>20 mm Hg (systolic blood pressure (SBP)) and/or >10 mm Hg (diastolic blood pressure (DBP)) or severe OH (>30 mm Hg (SBP) and/or >15 mm Hg (DBP)) within 3 min and 250 patients (72%) within 10 min. OH magnitude was significantly associated with disease severity (UMSARS I, II and IV), orthostatic symptoms (UMSARS I) and supine hypertension. OH severity was not associated with MSA subtype. Drug intake did not differ according to OH magnitude except for antihypertensive drugs being less frequently, and antihypotensive drugs more frequently, prescribed in severe OH. Conclusions: This is the largest study of OH in patients with MSA. Our data suggest that the sensitivity to pick up OH increases substantially by a prolonged 10 min orthostatic challenge. These results will help to improve OH management and the design of future clinical trials.Fil: Pavy Le Traon, Anne. University Hospital of Toulouse; Francia. Inserm; FranciaFil: Piedvache, A.. Université Paul Sabatier; FranciaFil: Pérez Lloret, Santiago. University Hospital of Toulouse; Francia. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; ArgentinaFil: Calandra Buonara, G.. Università di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; ItaliaFil: Cochen De Cock, V.. University Hospital of Toulouse; Francia. University of Montpellier; FranciaFil: Colosimo, C.. Sapienza Università di Roma; ItaliaFil: Cortelli, P.. Università di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; ItaliaFil: Debs, R.. University Hospital of Toulouse; FranciaFil: Duerr, S.. Universidad de Innsbruck; AustriaFil: Fanciulli, A.. Universidad de Innsbruck; AustriaFil: Foubert Samier, A.. Centre Hospitalier Universitaire de Bordeaux; Francia. Universite de Bordeaux; FranciaFil: Gerdelat, Angela. University Hospital of Toulouse; FranciaFil: Gurevich, T.. Tel-Aviv University; IsraelFil: Krismer, F.. Universidad de Innsbruck; AustriaFil: Poewe, W.. Universidad de Innsbruck; AustriaFil: Tison, Francois. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; FranciaFil: Tranchant, C.. University Hospital Hautepierre; FranciaFil: Wenning, G.. Universidad de Innsbruck; AustriaFil: Meissner, Wassilios G.. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; FranciaFil: Rascol, Olivier. University Hospital of Toulouse; FranciaB M J Publishing Group2015-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/38852Pavy Le Traon, Anne; Piedvache, A.; Pérez Lloret, Santiago; Calandra Buonara, G.; Cochen De Cock, V.; et al.; New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study; B M J Publishing Group; Journal Of Neurology, Neurosurgery And Psychiatry; 87; 5; 5-2015; 1-90022-3050CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://jnnp.bmj.com/content/87/5/554info:eu-repo/semantics/altIdentifier/doi/10.1136/jnnp-2014-309999info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T09:44:58Zoai:ri.conicet.gov.ar:11336/38852instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 09:44:59.157CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
dc.title.none.fl_str_mv |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
title |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
spellingShingle |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study Pavy Le Traon, Anne Atrofia Multisistémica Hipotensión Ortostática Reacciones Adversas Medicamentosas |
title_short |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
title_full |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
title_fullStr |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
title_full_unstemmed |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
title_sort |
New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study |
dc.creator.none.fl_str_mv |
Pavy Le Traon, Anne Piedvache, A. Pérez Lloret, Santiago Calandra Buonara, G. Cochen De Cock, V. Colosimo, C. Cortelli, P. Debs, R. Duerr, S. Fanciulli, A. Foubert Samier, A. Gerdelat, Angela Gurevich, T. Krismer, F. Poewe, W. Tison, Francois Tranchant, C. Wenning, G. Meissner, Wassilios G. Rascol, Olivier |
author |
Pavy Le Traon, Anne |
author_facet |
Pavy Le Traon, Anne Piedvache, A. Pérez Lloret, Santiago Calandra Buonara, G. Cochen De Cock, V. Colosimo, C. Cortelli, P. Debs, R. Duerr, S. Fanciulli, A. Foubert Samier, A. Gerdelat, Angela Gurevich, T. Krismer, F. Poewe, W. Tison, Francois Tranchant, C. Wenning, G. Meissner, Wassilios G. Rascol, Olivier |
author_role |
author |
author2 |
Piedvache, A. Pérez Lloret, Santiago Calandra Buonara, G. Cochen De Cock, V. Colosimo, C. Cortelli, P. Debs, R. Duerr, S. Fanciulli, A. Foubert Samier, A. Gerdelat, Angela Gurevich, T. Krismer, F. Poewe, W. Tison, Francois Tranchant, C. Wenning, G. Meissner, Wassilios G. Rascol, Olivier |
author2_role |
author author author author author author author author author author author author author author author author author author author |
dc.subject.none.fl_str_mv |
Atrofia Multisistémica Hipotensión Ortostática Reacciones Adversas Medicamentosas |
topic |
Atrofia Multisistémica Hipotensión Ortostática Reacciones Adversas Medicamentosas |
purl_subject.fl_str_mv |
https://purl.org/becyt/ford/3.2 https://purl.org/becyt/ford/3 |
dc.description.none.fl_txt_mv |
Objectives: Orthostatic hypotension (OH) is a key feature of multiple system atrophy (MSA), a fatal progressive neurodegenerative disorder associated with autonomic failure, parkinsonism and ataxia. This study aims (1) to determine the clinical spectrum of OH in a large European cohort of patients with MSA and (2) to investigate whether a prolonged postural challenge increases the sensitivity to detect OH in MSA. Methods: Assessment of OH during a 10 min orthostatic test in 349 patients with MSA from seven centres of the European MSA-Study Group (age: 63.6±8.8 years; disease duration: 4.2±2.6 years). Assessment of a possible relationship between OH and MSA subtype (P with predominant parkinsonism or C with predominant cerebellar ataxia), Unified MSA Rating Scale (UMSARS) scores and drug intake. Results: 187 patients (54%) had moderate (>20 mm Hg (systolic blood pressure (SBP)) and/or >10 mm Hg (diastolic blood pressure (DBP)) or severe OH (>30 mm Hg (SBP) and/or >15 mm Hg (DBP)) within 3 min and 250 patients (72%) within 10 min. OH magnitude was significantly associated with disease severity (UMSARS I, II and IV), orthostatic symptoms (UMSARS I) and supine hypertension. OH severity was not associated with MSA subtype. Drug intake did not differ according to OH magnitude except for antihypertensive drugs being less frequently, and antihypotensive drugs more frequently, prescribed in severe OH. Conclusions: This is the largest study of OH in patients with MSA. Our data suggest that the sensitivity to pick up OH increases substantially by a prolonged 10 min orthostatic challenge. These results will help to improve OH management and the design of future clinical trials. Fil: Pavy Le Traon, Anne. University Hospital of Toulouse; Francia. Inserm; Francia Fil: Piedvache, A.. Université Paul Sabatier; Francia Fil: Pérez Lloret, Santiago. University Hospital of Toulouse; Francia. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; Argentina Fil: Calandra Buonara, G.. Università di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; Italia Fil: Cochen De Cock, V.. University Hospital of Toulouse; Francia. University of Montpellier; Francia Fil: Colosimo, C.. Sapienza Università di Roma; Italia Fil: Cortelli, P.. Università di Bologna; Italia. Istituto delle Scienze Neurologiche di Bologna; Italia Fil: Debs, R.. University Hospital of Toulouse; Francia Fil: Duerr, S.. Universidad de Innsbruck; Austria Fil: Fanciulli, A.. Universidad de Innsbruck; Austria Fil: Foubert Samier, A.. Centre Hospitalier Universitaire de Bordeaux; Francia. Universite de Bordeaux; Francia Fil: Gerdelat, Angela. University Hospital of Toulouse; Francia Fil: Gurevich, T.. Tel-Aviv University; Israel Fil: Krismer, F.. Universidad de Innsbruck; Austria Fil: Poewe, W.. Universidad de Innsbruck; Austria Fil: Tison, Francois. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; Francia Fil: Tranchant, C.. University Hospital Hautepierre; Francia Fil: Wenning, G.. Universidad de Innsbruck; Austria Fil: Meissner, Wassilios G.. Universite de Bordeaux; Francia. Centre Hospitalier Universitaire de Bordeaux; Francia Fil: Rascol, Olivier. University Hospital of Toulouse; Francia |
description |
Objectives: Orthostatic hypotension (OH) is a key feature of multiple system atrophy (MSA), a fatal progressive neurodegenerative disorder associated with autonomic failure, parkinsonism and ataxia. This study aims (1) to determine the clinical spectrum of OH in a large European cohort of patients with MSA and (2) to investigate whether a prolonged postural challenge increases the sensitivity to detect OH in MSA. Methods: Assessment of OH during a 10 min orthostatic test in 349 patients with MSA from seven centres of the European MSA-Study Group (age: 63.6±8.8 years; disease duration: 4.2±2.6 years). Assessment of a possible relationship between OH and MSA subtype (P with predominant parkinsonism or C with predominant cerebellar ataxia), Unified MSA Rating Scale (UMSARS) scores and drug intake. Results: 187 patients (54%) had moderate (>20 mm Hg (systolic blood pressure (SBP)) and/or >10 mm Hg (diastolic blood pressure (DBP)) or severe OH (>30 mm Hg (SBP) and/or >15 mm Hg (DBP)) within 3 min and 250 patients (72%) within 10 min. OH magnitude was significantly associated with disease severity (UMSARS I, II and IV), orthostatic symptoms (UMSARS I) and supine hypertension. OH severity was not associated with MSA subtype. Drug intake did not differ according to OH magnitude except for antihypertensive drugs being less frequently, and antihypotensive drugs more frequently, prescribed in severe OH. Conclusions: This is the largest study of OH in patients with MSA. Our data suggest that the sensitivity to pick up OH increases substantially by a prolonged 10 min orthostatic challenge. These results will help to improve OH management and the design of future clinical trials. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-05 |
dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
format |
article |
status_str |
publishedVersion |
dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/38852 Pavy Le Traon, Anne; Piedvache, A.; Pérez Lloret, Santiago; Calandra Buonara, G.; Cochen De Cock, V.; et al.; New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study; B M J Publishing Group; Journal Of Neurology, Neurosurgery And Psychiatry; 87; 5; 5-2015; 1-9 0022-3050 CONICET Digital CONICET |
url |
http://hdl.handle.net/11336/38852 |
identifier_str_mv |
Pavy Le Traon, Anne; Piedvache, A.; Pérez Lloret, Santiago; Calandra Buonara, G.; Cochen De Cock, V.; et al.; New insights into orthostatic hypotension in multiple system atrophy: a European multicentre cohort study; B M J Publishing Group; Journal Of Neurology, Neurosurgery And Psychiatry; 87; 5; 5-2015; 1-9 0022-3050 CONICET Digital CONICET |
dc.language.none.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/http://jnnp.bmj.com/content/87/5/554 info:eu-repo/semantics/altIdentifier/doi/10.1136/jnnp-2014-309999 |
dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
eu_rights_str_mv |
openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
B M J Publishing Group |
publisher.none.fl_str_mv |
B M J Publishing Group |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) |
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CONICET Digital (CONICET) |
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Consejo Nacional de Investigaciones Científicas y Técnicas |
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CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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13.13397 |