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03-06-2014, 05:35 PM
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Quote:
I have been reading the pedaling and dystonia post for the first time and Nan's mention of her fast heart beat 205/min caught my attention. I decided to start a new thread so I dont detract from the exercise focus of that thread as my concern is about cardiac problems and PD. I have recently noticed an increased heart rate on any exertion, it happens when just walking briskly and a short distance. I also get mild chest pain. All this has been investigated and although I have these symptoms my tests to date have been Ok. These incude angiogram and ultrasound and EKG and blood tests. I dont have hypothyroid, i presume you were diagnosed by blood test Nan? I know these problems can be quite separate from PD but my hunch is that the PD is at least a part of it. I am observing and recording symptoms at the moment in preparation for another neuro visit. As well I have been looking for information on the involvement of the autonomic system in Parkinsons and its effect on cardiac function. I would be interesting to hear if others get exercise induced tachycardia? And does anyone have ideas or comment especially on autonomic problems involving the heart.
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"We don't see things as they are, we see them as we are." Anais Nin. |
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03-07-2014, 08:26 AM
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One day I noticed that on the "crash cart" in the hospital there was a IV bag marked "Dopamine". Dopamine not Levodopa is given to heart patients who have slow irregular heart rates. So it makes sense to me that the administration of Levodopa by mouth would tend to create irregular heart beats in some patients. I believe that if you research the side effects of Sinemet, you will find references to the effects on cardiac function.
It is important to investigate heart issues fully. However, the Levodopa - Arrhythmia connection is often overlooked when PD patients present themselves for their cardiac consultations. Clyde I have recently noticed an increased heart rate on any exertion, it happens when just walking briskly and a short distance. I also get mild chest pain. All this has been investigated and although I have these symptoms my tests to date have been Ok. ..... |
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| "Thanks for this!" says: | dilmar (03-07-2014) |
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03-07-2014, 06:19 PM
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I wore a ZIO patch for two weeks and had 18 instances of tachycardia, none of which seem to be related to increased exercise. They were very random some happening while I was exercising others while I was at rest. On the basis of that the cardiologist attempted to perform an ablation, but when they tried to kickstart a problem in my heart, nothing happened, therefore no ablation was necessary. I specifically as the cardiologist if there was a relationship between the Parkinson's in the tachycardia events. He was very clear in stating that there was no relationship. He said that we could control the events by using drugs if they became more bothersome, but he would recommend just living with them unless they became debilitating.
I must admit I know nothing about levodopa and crash carts. I do not take levodopa myself if that is of any help. |
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| "Thanks for this!" says: | dilmar (03-08-2014) |
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03-10-2014, 07:21 AM
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The opening statement of a journal article reads
"Parkinson’s disease patients frequently have symptoms and signs of autonomic nervous dysfunction that are the source of considerable disability. Recent studies have revealed that most patients with Parkinson’s disease, and all with Parkinson’s disease‐associated orthostatic hypotension, have a loss of cardiac sympathetic innervation." http://brain.oxfordjournals.org/content/127/4/768.short So i take this to mean a loss of nerve supply to the heart, add the potential effect of dopaminergic treatments and then to that add non parkinson cardiac problems..... I must do a search, perhaps this has been discussed before.
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| "Thanks for this!" says: | soccertese (03-10-2014), Tupelo3 (03-10-2014) |
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