Does cardiovascular autonomic dysfunction contribute to fatigue in myasthenia gravis?

Title:

Does cardiovascular autonomic dysfunction contribute to fatigue in myasthenia gravis?

Creator:

Elsais, Ahmed, Kerty, Emilia, Russell, Kristoffer, and Toska, Karin

Identifier:

https://cdk.lib.cas.cz/client/handle/uuid:279da385-97f5-4915-b9ef-d17cf575357e
uuid:279da385-97f5-4915-b9ef-d17cf575357e
doi:10.33549/physiolres.934660

Subject:

myasthenia gravis, fatigue, autonomic disturbance, cardiovascular response, and acetylcholine esterase inhibitors

Type:

model:article and TEXT

Format:

počítač and online zdroj

Description:

Myasthenia gravis (MG) is an autoimmune disease characterized by fatigable muscle weakness. Despite full spontaneous or pharmacological remission some MG patients still complain of physical and mental fatigue. Fatigue has been related to autonomic dysregulation. The aim of this study was to assess autonomic responses in a group of MG patients in complete remission but complaining of persistent fatigue. Seventeen wellregulated but persistently fatigued MG patients and 17 individually matched controls underwent echocardiography assessing systolic and diastolic heart function. Beat to beat cardiovascular responses at rest and to 30o head-up tilt, tilt-back, and 2-min static handgrip contraction were recorded. Fatigued MG patients had a statistically significant higher resting HR than their matched controls (p=0.03). The difference in resting heart rate between MG patients not using acetylcholine esterase inhibitors (AChEi) and their matched controls was even more pronounced (p=0.007). The autonomic cardiovascular adjustments to head-up tilt, tilt-back and handgrip contraction were not statistically significant different between patients and controls. We found a higher resting heart rate in all wellregulated but fatigued MG patients compared with controls. The difference was more pronounced between patients not taking AChEi compared to their matched controls. This finding may reflect a disturbed resting sympathovagal balance and this might be a contributing factor to the fatigue symptoms.

Language:

English

Rights:

http://creativecommons.org/licenses/by-nc-sa/4.0/
policy:public

Coverage:

79-91

Source:

Physiological research | 2022 Volume:71 | Number:1

Harvested from:

CDK

Metadata only:

false