Exploring autonomic nervous system dysfunction in patients with cancer cachexia: A pilot study

被引:16
作者
Chauhan, Alpna
Sequeria, Ashika
Manderson, Cathann
Maddocks, Matthew
Wasley, David [2 ]
Wilcock, Andrew [1 ]
机构
[1] Nottingham Univ Hosp NHS Trust, Hayward House Macmillan Specialist Palliat Care U, Nottingham, England
[2] Univ Wales Inst, Cardiff Sch Sport, Cardiff, S Glam, Wales
来源
AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL | 2012年 / 166卷 / 1-2期
基金
美国国家卫生研究院;
关键词
Cancer cachexia; Heart rate variability; Autonomic nervous system;
D O I
10.1016/j.autneu.2011.09.006
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Introduction: Abnormalities of the autonomic nervous system (ANS) have been associated with cachexia. Methods: In nine cancer patients who had lost weight and nine age-matched healthy volunteers heart rate variability (HRV) components were determined, together with serum cortisol and urinary catecholamines/metanephrines. Results: Compared to volunteers, patients exhibited a global reduction in HRV parameters, significantly so for high frequency, low frequency and total power (median values ms(2) 103 vs. 313, 62 vs. 148 and 316 vs. 736 respectively, P<0.05). Biochemical values did not differ. Conclusion: Our results suggest the presence of ANS dysfunction in patients with cancer cachexia, with reduction in both sympathetic and parasympathetic components. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:93 / 95
页数:3
相关论文
共 9 条
[1]   Neurohumoral activation as a link to systemic manifestations of chronic lung disease [J].
Andreas, S ;
Anker, SD ;
Scanlon, PD ;
Somers, VK .
CHEST, 2005, 128 (05) :3618-3624
[2]  
BRUERA E, 1986, CANCER TREAT REP, V70, P1383
[3]  
Camm AJ, 1996, EUR HEART J, V17, P354
[4]  
Elenkov IJ, 2000, PHARMACOL REV, V52, P595
[5]   Autonomic paraneoplastic neurological syndromes [J].
Lorusso, Lorenzo ;
Hart, Ian K. ;
Ferrari, Daniela ;
Ngonga, Gaelle K. ;
Gasparetto, Chiara ;
Ricevuti, Giovanni .
AUTOIMMUNITY REVIEWS, 2007, 6 (03) :162-168
[6]   Cardiac autonomic balance in rats submitted to protein restriction after weaning [J].
Martins, Carlito D. D. ;
Chianca, Deoclecio A., Jr. ;
Fernandes, Luciano G. .
CLINICAL AND EXPERIMENTAL PHARMACOLOGY AND PHYSIOLOGY, 2011, 38 (02) :89-93
[7]   The impact of cachexia on cardiorespiratory reflex control in chronic heart failure [J].
Ponikowski, P ;
Piepoli, M ;
Chua, TP ;
Banasiak, W ;
Francis, D ;
Anker, SD ;
Coats, AJS .
EUROPEAN HEART JOURNAL, 1999, 20 (22) :1667-1675
[8]   Mechanisms of Cancer Cachexia [J].
Tisdale, Michael J. .
PHYSIOLOGICAL REVIEWS, 2009, 89 (02) :381-410
[9]   Autonomic nervous system dysfunction in advanced cancer [J].
Walsh, D ;
Nelson, KA .
SUPPORTIVE CARE IN CANCER, 2002, 10 (07) :523-528