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January 1, 1994Age and Ageing

Cardiovascular Autonomic Functions in Alzheimer's Disease

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Key result

Alzheimer's disease patients had significantly depressed R-R interval variation during rest (6.4% vs 7.5%, p<0.02) and deep breathing compared to controls, indicating mild autonomic impairment.

Why the study?

Are cardiovascular autonomic functions impaired in patients with Alzheimer's disease compared to age-matched controls?

Population

23 patients with Alzheimer's disease (AD) and 23 age-matched control subjects (total n=46)

Design

Case-control

Authors

SWShuu‐Jiun WangNational Yang Ming Chiao Tung UniversityKLKwong-Kum LiaoNational Yang Ming Chiao Tung UniversityJFJong‐Ling FuhNational Yang Ming Chiao Tung University

Discussion

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Implication

May merit autonomic monitoring in Alzheimer's; hypothesis-generating for cardiovascular risk links.

Study Design

Type

Case-Control (n=46)

Structured PICO

Are cardiovascular autonomic functions impaired in patients with Alzheimer's disease compared to age-matched controls?

P
Population
23 patients with Alzheimer's disease (AD) and 23 age-matched control subjects (total n=46)
C
Comparator
Age-matched control subjects
O
Outcome
Vagal parasympathetic function assessed with R-R interval variation (RRIV), and sympathetic function with sympathetic skin response (SSR) and orthostatic cardiovascular reflexessurrogate

Main Result

Absolute Event Rate: 6.4% vs 7.5%

p-value: p=<0.02

Alzheimer's disease patients exhibit mildly impaired autonomic functions, primarily in vagal parasympathetic activity, and have lower systolic blood pressure compared to age-matched controls.

Cite This Study

Wang et al. (1994) conducted a case-control in Alzheimer's disease (n=46). Alzheimer's disease (exposure) vs. Age-matched controls was evaluated on R-R interval variation (RRIV) during rest (p=<0.02). Alzheimer's disease patients had significantly depressed R-R interval variation during rest (6.4% vs 7.5%, p<0.02) and deep breathing compared to controls, indicating mild autonomic impairment.

synapsesocial.com/papers/6a162c15599ca9964c8e90c4https://doi.org/10.1093/ageing/23.5.400
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Autonomic Dysfunction in Patients with Mild to Moderate Alzheimer’s Disease2015 · 41 citations
  2. 2Cardiac sympathovagal modulation evaluated by short‐term heart interval variability is subtly impaired in Alzheimer's disease2008 · 44 citations
  3. 3Autonomic Cardiovascular Responses to Tilting in Patients with Alzheimer's Disease and in Healthy Elderly Women1992 · 44 citations
  4. 4Blood Pressure and Heart Rate Variability in Alzheimer's Disease2015 · 4 citations
  5. 5Dynamic Regulation of Cerebral Blood Flow in Patients With Alzheimer Disease2018 · 84 citations