Orthostatic Hypotension Presenting as Chest Pain in a Woman with Parkinson’s Disease

Abstract

Parkinson's disease is associated with autonomic deregulation with cardiovacular autonomic dysfunction occuring in 40% of patients (1). Postural hypotension symptoms, as a major reflection of this autonomic failure, has been reported to be present in one third of parkinson's disease patients. We describe an unusual case of an elderly woman with Parkinson's Disease, coronary artery disease and a dynamic left ventricular outflow tract gradient presenting with chest pain and dizziness resulting from the interaction between abnormal vascular and cardiac physiology.