Frequency of Orthostatic Hypotension in Parkinson’s Disease
Ali Qayyum, Ehsan Ul Haq, Shoaib Zafar, Javaria, Muhammad Moss, Munashra Anam
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ABSTRACT
Background: Parkinson’s Diseases (PD) cause some
non-motor issues that could lead to disability. One of such determinal
non-motor symptoms is orthostatic hypotension
(OH) which is still understudied in our local setting despite of its high
prevalence worldwide among patients of PD.
Aim: To determine frequency of orthostatic hypotension
in Parkinson’s disease
Methods: This Cross-sectional
study was conducted at Department of
Neurology, Mayo Hospital, Lahore for 6 months after the approval of synopsis
[April 9, 2018 till Oct 9, 2018]. A sample of 95 cases was selected using non
probability consecutive sampling from 95 patients of Parkinson’s Disease aged
25 years and more. After taking consent from patient and recording
sociodemographic information, a lying-to-standing orthostatic test was
performed to evaluate the orthostatic hypotension and SBP and DBP was recorded.
All data was collected using a self structured proforma and analyzed using SPSS
v 21.
Results: The mean age of
cases was 47.46 ± 8.97 years with male to female ratio of 1.97:1. The mean
systolic and diastolic blood pressure was 120.60 ± 11.80 and 86.20 ± 8.68
respectively. The frequency of orthostatic hypotension was seen in 51(53.7%)
while other 44(46.3%) cases did not have orthostatic hypotension.
Conclusion: Through
the findings of this study we conclude that frequency of orthostatic
hypotension in Parkinson’s disease is very much high i.e. 53.7% with highest
frequency in cases with longer duration of disease.
Keywords: Autonomic
diseases, Parkinson’s disease, Systolic blood pressure, diastolic blood
pressure, Orthostatic hypotension,