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Your search keyword '"Low, Phillip A"' showing total 17 results
Start Over Author "Low, Phillip A" Journal annals of neurology
17 results on '"Low, Phillip A"'

3. Alpha‐Synuclein Oligomers and Neurofilament Light Chain Predict Phenoconversion of Pure Autonomic Failure

Author

Singer, Wolfgang, primary, Schmeichel, Ann M., additional, Shahnawaz, Mohammad, additional, Schmelzer, James D., additional, Sletten, David M., additional, Gehrking, Tonette L., additional, Gehrking, Jade A., additional, Olson, Anita D., additional, Suarez, Mariana D., additional, Misra, Pinaki P., additional, Soto, Claudio, additional, and Low, Phillip A., additional

Published
2021
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5. Alpha‐Synuclein Oligomers and Neurofilament Light Chain in Spinal Fluid Differentiate Multiple System Atrophy from Lewy Body Synucleinopathies

Author

Singer, Wolfgang, primary, Schmeichel, Ann M., additional, Shahnawaz, Mohammad, additional, Schmelzer, James D., additional, Boeve, Bradley F., additional, Sletten, David M., additional, Gehrking, Tonette L., additional, Gehrking, Jade A., additional, Olson, Anita D., additional, Savica, Rodolfo, additional, Suarez, Mariana D., additional, Soto, Claudio, additional, and Low, Phillip A., additional

Published
2020
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7. Orthostatic heart rate changes in patients with autonomic failure caused by neurodegenerative synucleinopathies.

Author

Norcliffe‐Kaufmann, Lucy, Kaufmann, Horacio, Palma, Jose‐Alberto, Shibao, Cyndya A., Biaggioni, Italo, Peltier, Amanda C., Singer, Wolfgang, Low, Phillip A., Goldstein, David S., Gibbons, Christopher H., Freeman, Roy, Robertson, David, Autonomic Disorders Consortium, Norcliffe-Kaufmann, Lucy, and Palma, Jose-Alberto

Subjects
ORTHOSTATIC hypotension, ORTHOSTATIC hypotension treatment, LEWY body dementia, MEDICAL quality control, SYSTOLIC blood pressure, PATIENTS
Abstract

Objective: Blunted tachycardia during hypotension is a characteristic feature of patients with autonomic failure, but the range has not been defined. This study reports the range of orthostatic heart rate (HR) changes in patients with autonomic failure caused by neurodegenerative synucleinopathies.Methods: Patients evaluated at sites of the U.S. Autonomic Consortium (NCT01799915) underwent standardized autonomic function tests and full neurological evaluation.Results: We identified 402 patients with orthostatic hypotension (OH) who had normal sinus rhythm. Of these, 378 had impaired sympathetic activation (ie, neurogenic OH) and based on their neurological examination were diagnosed with Parkinson disease, dementia with Lewy bodies, pure autonomic failure, or multiple system atrophy. The remaining 24 patients had preserved sympathetic activation and their OH was classified as nonneurogenic, due to volume depletion, anemia, or polypharmacy. Patients with neurogenic OH had twice the fall in systolic blood pressure (SBP; -44 ± 25 vs -21 ± 14 mmHg [mean ± standard deviation], p < 0.0001) but only one-third of the increase in HR of those with nonneurogenic OH (8 ± 8 vs 25 ± 11 beats per minute [bpm], p < 0.0001). A ΔHR/ΔSBP ratio of 0.492 bpm/mmHg had excellent sensitivity (91.3%) and specificity (88.4%) to distinguish between patients with neurogenic from nonneurogenic OH (area under the curve = 0.96, p < 0.0001). Within patients with neurogenic OH, HR increased more in those with multiple system atrophy (p = 0.0003), but there was considerable overlap with patients with Lewy body disorders.Interpretation: A blunted HR increase during hypotension suggests a neurogenic cause. A ΔHR/ΔSBP ratio < 0.5 bpm/mmHg is diagnostic of neurogenic OH. Ann Neurol 2018;83:522-531. [ABSTRACT FROM AUTHOR]

Published
2018
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9. The spectrum of autoimmune autonomic neuropathies

Author

Klein, Caroline M., primary, Vernino, Steven, additional, Lennon, Vanda A., additional, Sandroni, Paola, additional, Fealey, Robert D., additional, Benrud-Larson, Lisa, additional, Sletten, David, additional, and Low, Phillip A., additional

Published
2003
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