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Sanchez‐Ferro et al61 | STN | None | None | Hypertensive crisis observed with medial lead placement (unpublished data, authors experience) | ||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.