Ferini-Strambi L, Oldani A, Zucconi M, Smirne S
Department of Neurology, Istituto Scientifico H San Raffaele, University of Milano, School of Medicine, Italy.
Sleep. 1996 Jun;19(5):367-9. doi: 10.1093/sleep/19.5.367.
In REM sleep behavior disorder (RBD) it has been reported that tachycardia may not accompany the impressive movements associated with dream mentation. Up to now there are no data concerning the cardiac autonomic activity during wakefulness as well as during sleep out of nocturnal dream-enacting behaviors, in RBD. We evaluated 14 RBD patients. Our study shows that only 36% of patients had normal results in all traditional autonomic tests during wakefulness. Moreover, RBD patients had a reduced tonic and phasic heart rate variability during sleep. Autonomic evaluation during sleep may show impairment earlier than the traditional tests during wakefulness. No difference was found between idiopathic RBD patients and symptomatic ones.
据报道，在快速眼动睡眠行为障碍（RBD）中，心动过速可能不会伴随与梦境相关的显著动作。到目前为止，尚无关于RBD患者清醒时以及非夜间梦呓行为期间睡眠时心脏自主神经活动的数据。我们评估了14名RBD患者。我们的研究表明，只有36%的患者在清醒时的所有传统自主神经测试中结果正常。此外，RBD患者在睡眠期间的静息和相位心率变异性降低。睡眠期间的自主神经评估可能比清醒时的传统测试更早显示出损害。特发性RBD患者和症状性RBD患者之间未发现差异。
