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• W1990407554 abstract "<h3>Objective:</h3> Conflicting data have been reported on resting autonomic tone in narcolepsy with cataplexy (NC), including reduced or increased sympathetic activity; to settle this important point, we aimed to measure the resting sympathetic and cardiovascular activities in patients with NC by direct microneurographic monitoring of muscle sympathetic nerve activity (MSNA) during wakefulness. <h3>Methods:</h3> We studied 19 untreated patients with established criteria for NC and hypocretin deficiency and 19 sex- and age-matched healthy subjects. Subjects underwent resting microneurographic recording of MSNA from peroneal nerve and heart rate (HR), whereas blood pressure (BP) was measured with a sphygmomanometer after the end of microneurographic recording. The awake state was continuously monitored by an ambulatory polygraphic recorder. <h3>Results:</h3> Patients with NC displayed lower resting MSNA, HR, and BP values than controls. Pearson regression analysis showed a correlation between CSF hypocretin-1 level and MSNA or HR, whereas no correlation was found with BP; however, patients with virtually absent hypocretin-1 displayed lower BP than patients with the highest hypocretin-1 value. <h3>Conclusions:</h3> (1) Patients with NC displayed decreased resting MSNA, HR, and BP during wakefulness, lowering their cardiovascular risk profile; (2) CSF hypocretin-1 deficiency was correlated with MSNA or HR, supporting a direct effect of hypocretin on autonomic regulation; (3) although hypocretin-1 was not correlated with BP, patients with absent hypocretin-1 had lower BP." @default.
• W1990407554 created "2016-06-24" @default.
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• W1990407554 date "2014-08-06" @default.
• W1990407554 modified "2023-09-25" @default.
• W1990407554 title "Lower wake resting sympathetic and cardiovascular activities in narcolepsy with cataplexy" @default.
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• W1990407554 doi "https://doi.org/10.1212/wnl.0000000000000793" @default.
• W1990407554 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25098533" @default.
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