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帕金森病猝死:被不合理地遗忘。

Sudden death in Parkinson's disease: Unjustifiably forgotten.

机构信息

Disciplina de Neurociência, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil; Departamento de Psicobiologia, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.

Departamento de Psicobiologia, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.

出版信息

Parkinsonism Relat Disord. 2019 Jan;58:88-89. doi: 10.1016/j.parkreldis.2018.08.012. Epub 2018 Aug 30.

Abstract

Parkinson's disease (PD) is one of the most common age-related neurodegenerative disorders. Epidemiological studies have demonstrated that PD is accompanied by high rates of premature death compared with the general population. The main causes of deaths are related to pneumonia and cardiovascular diseases. Importantly, it has also been recognized that some PD patients may eventually die unexpectedly and suddenly, referred as Sudden Unexpected Death in Parkinson's Disease (SUDPAR). Despite on-going PD research, there are still deficits in our knowledge about the risk factors, mechanisms and prevention of SUDPAR. By some means, current evidence suggests cardiac abnormalities and autonomic dysfunction plays an important role in SUDPAR. Thus, SUDPAR in patients with PD is a real phenomenon and translational studies should be carried out with the aim of elucidating this phenomenon.

摘要

帕金森病(PD)是最常见的与年龄相关的神经退行性疾病之一。流行病学研究表明,与普通人群相比,PD 患者的过早死亡率较高。主要死亡原因与肺炎和心血管疾病有关。重要的是,人们还认识到一些 PD 患者最终可能会意外和突然死亡,称为帕金森病猝死(SUDPAR)。尽管对 PD 进行了持续研究,但我们对 SUDPAR 的危险因素、机制和预防仍知之甚少。通过某些手段,现有证据表明心脏异常和自主神经功能障碍在 SUDPAR 中起着重要作用。因此,PD 患者的 SUDPAR 是一个真实存在的现象,应该开展转化研究来阐明这一现象。

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