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Exploring the prevalence of undetected bradyarrhythmia in dementia with Lewy bodies

Heyman, Isak LU ; Persson, Torbjörn ; Haglund, Mattias LU and Londos, Elisabet LU (2023) In Clinical autonomic research : official journal of the Clinical Autonomic Research Society 33(4). p.433-442
Abstract

PURPOSE: To explore the prevalence of undetected bradyarrhythmia in a cohort of people with dementia with Lewy bodies.

METHODS: Thirty participants diagnosed with dementia with Lewy bodies were enrolled from three memory clinics in southern Sweden between May 2021 and November 2022. None had a history of high-grade atrioventricular block or sick sinus syndrome. Each participant underwent orthostatic testing, cardiac [
123I]metaiodobenzylguanidine scintigraphy and 24-h ambulatory electrocardiographic monitoring. Concluding bradyarrhythmia diagnosis was obtained until the end of December 2022.

RESULTS: Thirteen participants (46.4%) had bradycardia at rest during orthostatic testing and four had an average heart rate... (More)

PURPOSE: To explore the prevalence of undetected bradyarrhythmia in a cohort of people with dementia with Lewy bodies.

METHODS: Thirty participants diagnosed with dementia with Lewy bodies were enrolled from three memory clinics in southern Sweden between May 2021 and November 2022. None had a history of high-grade atrioventricular block or sick sinus syndrome. Each participant underwent orthostatic testing, cardiac [
123I]metaiodobenzylguanidine scintigraphy and 24-h ambulatory electrocardiographic monitoring. Concluding bradyarrhythmia diagnosis was obtained until the end of December 2022.

RESULTS: Thirteen participants (46.4%) had bradycardia at rest during orthostatic testing and four had an average heart rate < 60 beats per minute during ambulatory electrocardiographic monitoring. Three participants (10.7%) received a diagnosis of sick sinus syndrome, of whom two received pacemaker implants to manage associated symptoms. None received a diagnosis of second- or third-degree atrioventricular block.

CONCLUSION: This report showed a high prevalence of sick sinus syndrome in a clinical cohort of people with dementia with Lewy bodies. Further research on the causes and consequences of sick sinus syndrome in dementia with Lewy bodies is thus warranted.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical autonomic research : official journal of the Clinical Autonomic Research Society
volume
33
issue
4
pages
433 - 442
publisher
Springer
external identifiers
  • scopus:85163925225
  • pmid:37405543
ISSN
1619-1560
DOI
10.1007/s10286-023-00962-w
language
English
LU publication?
yes
additional info
© 2023. The Author(s).
id
0c11c2c4-fa27-416b-82bb-d704e231ee39
date added to LUP
2023-07-09 18:02:08
date last changed
2024-04-19 23:17:24
@article{0c11c2c4-fa27-416b-82bb-d704e231ee39,
  abstract     = {{<p>PURPOSE: To explore the prevalence of undetected bradyarrhythmia in a cohort of people with dementia with Lewy bodies.</p><p>METHODS: Thirty participants diagnosed with dementia with Lewy bodies were enrolled from three memory clinics in southern Sweden between May 2021 and November 2022. None had a history of high-grade atrioventricular block or sick sinus syndrome. Each participant underwent orthostatic testing, cardiac [<br>
 123I]metaiodobenzylguanidine scintigraphy and 24-h ambulatory electrocardiographic monitoring. Concluding bradyarrhythmia diagnosis was obtained until the end of December 2022.<br>
 </p><p>RESULTS: Thirteen participants (46.4%) had bradycardia at rest during orthostatic testing and four had an average heart rate &lt; 60 beats per minute during ambulatory electrocardiographic monitoring. Three participants (10.7%) received a diagnosis of sick sinus syndrome, of whom two received pacemaker implants to manage associated symptoms. None received a diagnosis of second- or third-degree atrioventricular block.</p><p>CONCLUSION: This report showed a high prevalence of sick sinus syndrome in a clinical cohort of people with dementia with Lewy bodies. Further research on the causes and consequences of sick sinus syndrome in dementia with Lewy bodies is thus warranted.</p>}},
  author       = {{Heyman, Isak and Persson, Torbjörn and Haglund, Mattias and Londos, Elisabet}},
  issn         = {{1619-1560}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{4}},
  pages        = {{433--442}},
  publisher    = {{Springer}},
  series       = {{Clinical autonomic research : official journal of the Clinical Autonomic Research Society}},
  title        = {{Exploring the prevalence of undetected bradyarrhythmia in dementia with Lewy bodies}},
  url          = {{http://dx.doi.org/10.1007/s10286-023-00962-w}},
  doi          = {{10.1007/s10286-023-00962-w}},
  volume       = {{33}},
  year         = {{2023}},
}