Is There a Difference in Autonomic Dysfunction Between Multiple System Atrophy Subtypes? Article Swipe
Divyani Garg
,
Achal Kumar Srivastava
,
Ashok Kumar Jaryal
,
Roopa Rajan
,
Akanksha Singh
,
Awadh Kishor Pandit
,
Deepti Vibha
,
Garima Shukla
,
Ajay Garg
,
Ravindra Mohan Pandey
,
Kameshwar Prasad
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/mdc3.12936
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/mdc3.12936
Background Autonomic dysfunction forms the diagnostic cornerstone in MSA. Data are limited on autonomic dysfunction differences between the two subtypes, MSA‐C and MSA‐P. Objectives To assess autonomic dysfunction in MSA subtypes and Parkinson's disease (PD) and compare it to healthy controls. Methods We conducted a cross‐sectional study. A validated questionnaire (Scales for Outcomes in Parkinson's Disease–Autonomic Dysfunction; SCOPA‐AUT) was used for symptom screening. Cardiovascular autonomic testing included deep breathing (change in heart rate, E: I ratio), Valsalva ratio, diastolic blood pressure (BP) rise (hand grip, cold pressor), and postural (tilt, 30:15 ratio) tests. Disease severity was assessed by the Unified MSA Rating Scale (UMSARS), H & Y stage, and International Parkinson and Movement Disorder Society Unified Parkinson's Disease Rating scale part III. Results MSA‐P (48 subjects; age, 63.6 ± 9.7 years; UMSARS, 45.0 ± 16.5), MSA‐C (52 subjects; age, 58.0 ± 8.1 years; UMSARS, 44.0 ± 12.8), PD (50 subjects; age, 57.6 ± 6.7 years), and healthy controls (50 subjects; age, 58.0 ± 8.0 years) were enrolled. MSA patients had higher SCOPA‐AUT scores in gastrointestinal, urinary, cardiovascular, and sexual domains than controls and in gastrointestinal, urinary, and cardiovascular domains compared to PD. The two MSA subtypes did not differ in autonomic dysfunction. Heart‐rate change on tilt and deep breathing, and diastolic BP rise on cold pressor test, differed significantly between MSA and PD patients. Conclusions Autonomic dysfunction symptomatology and cardiovascular autonomic tests were similar between MSA‐P and MSA‐C patients. Autonomic symptoms were more prominent in MSA than PD. Emphasis on these domains may improve likelihood of accurate clinical diagnosis of MSA at earlier stages.
Related Topics
Concepts
Atrophy
Pure autonomic failure
Medicine
Neuroscience
Psychology
Internal medicine
Orthostatic vital signs
Blood pressure
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/mdc3.12936
- https://movementdisorders.onlinelibrary.wiley.com/doi/pdfdirect/10.1002/mdc3.12936
- OA Status
- bronze
- Cited By
- 12
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3012544572
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3012544572Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/mdc3.12936Digital Object Identifier
- Title
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Is There a Difference in Autonomic Dysfunction Between Multiple System Atrophy Subtypes?Work title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
-
2020-03-11Full publication date if available
- Authors
-
Divyani Garg, Achal Kumar Srivastava, Ashok Kumar Jaryal, Roopa Rajan, Akanksha Singh, Awadh Kishor Pandit, Deepti Vibha, Garima Shukla, Ajay Garg, Ravindra Mohan Pandey, Kameshwar PrasadList of authors in order
- Landing page
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https://doi.org/10.1002/mdc3.12936Publisher landing page
- PDF URL
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https://movementdisorders.onlinelibrary.wiley.com/doi/pdfdirect/10.1002/mdc3.12936Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://movementdisorders.onlinelibrary.wiley.com/doi/pdfdirect/10.1002/mdc3.12936Direct OA link when available
- Concepts
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Atrophy, Pure autonomic failure, Medicine, Neuroscience, Psychology, Internal medicine, Orthostatic vital signs, Blood pressureTop concepts (fields/topics) attached by OpenAlex
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12Total citation count in OpenAlex
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2025: 2, 2024: 2, 2023: 3, 2022: 4, 2020: 1Per-year citation counts (last 5 years)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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