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. 2020 Apr 7;7(4):373–382. doi: 10.1002/mdc3.12938

Table 3.

Summary of the clinical effects on the cardiovascular system following DBS implantation

Study Target Patient Number Comparison Group Investigation Methods Length of F‐U Clinical Effects
Williams et al8 STN 1 None Holter monitoring, formal tilt table‐assessment. None Case report of orthostatic hypotension and first‐degree heart block following stimulation
Aygun et al9 STN 1 None Patient symptoms. None Case report of syncopal episodes associated with stimulation
Rukmini Mridula et al36 STN 56 53 age and duration of illness matched PD patients on dopaminergic therapy NMS Questionnaire None Lower frequency of orthostatic hypotension compared with levodopa treatment
Dafsari et al41 STN 60 Non‐Motor Symptoms Scale, NMS Questionnaire 6 months
Ludwig et al56 STN 14 15 non stimulated PD patients Noninvasive laser Doppler flowmetry/computer‐assisted equipment None Cutaneous vasoconstriction reported. Development of orthostatic hypotension in 8 of 14 patients in the study
Holmberg et al57 STN 11

8 PD patients on dopaminergic therapy

10 matched healthy subjects

Noninvasive finger blood pressure, autonomic sphygmomanometry, tilt test, electrocardiogram. 1 year Reduction of heart rate and blood pressure after 1 year
Sanchez‐Ferro et al61 STN None None Hypertensive crisis observed with medial lead placement (unpublished data, authors experience)
Kenney et al63 STN 182 None Retrospectively assessed None Vasovagal response (2.5% of patients) and syncope (1.2% of patients)
Kataoka et al65 STN 1 None Fiber‐optic examination of the larinx None Case report of a patient developing a fixed, rigid epiglottis associated with stimulation

DBS, deep brain stimulation; F‐U, follow‐up; STN, subthalamic nucleus; PD, Parkinson's disease; NMS, non‐motor symptoms.