[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"menu":3,"$fTJimXzukMOlHVKkYrvrIxVCjpUBdxHeSTiGyTpTxgtY":210},{"main":4,"mainTranslated":17,"footer":45,"footerTranslated":109},[5,8,11,14],{"title":6,"url":7},"Course library","https:\u002F\u002Fwww.medmastery.com\u002Fcourse-library",{"title":9,"url":10},"Pricing","https:\u002F\u002Fwww.medmastery.com\u002Fpricing",{"title":12,"url":13},"Earn credits","https:\u002F\u002Fwww.medmastery.com\u002Fcme-credits",{"title":15,"url":16},"Institutions","https:\u002F\u002Fwww.medmastery.com\u002Finstitutions",{"de":18,"es":27,"fr":36},[19,21,23,25],{"title":20,"url":7},"Kurse",{"title":22,"url":10},"Preise",{"title":24,"url":13},"CME-Punkte",{"title":26,"url":16},"Organisationen",[28,30,32,34],{"title":29,"url":7},"Biblioteca de cursos",{"title":31,"url":10},"Precios",{"title":33,"url":13},"Gana créditos",{"title":35,"url":16},"Instituciones",[37,39,41,43],{"title":38,"url":7},"Cours",{"title":40,"url":10},"Tarifs",{"title":42,"url":13},"Obtenir des crédits",{"title":44,"url":16},"Établissements",[46,59,79,97],{"title":47,"group":48,"menu":49},"Company",true,[50,53,56],{"title":51,"url":52},"Our teachers","https:\u002F\u002Fwww.medmastery.com\u002Fteachers",{"title":54,"url":55},"About us","https:\u002F\u002Fwww.medmastery.com\u002Fabout-us",{"title":57,"url":58},"Work with us","https:\u002F\u002Fwww.medmastery.com\u002Fwork-with-us",{"title":60,"group":48,"menu":61},"Product",[62,64,67,70,73,76,78],{"title":63,"url":7},"Courses",{"title":65,"url":66},"Magazine","https:\u002F\u002Fwww.medmastery.com\u002Fmagazine",{"title":68,"url":69},"Podcast","https:\u002F\u002Fwww.medmastery.com\u002Fpodcasts",{"title":71,"url":72},"Webinars","https:\u002F\u002Fwww.medmastery.com\u002Fwebinars",{"title":74,"url":75},"Guides","https:\u002F\u002Fwww.medmastery.com\u002Fguides",{"title":15,"url":77},"https:\u002F\u002Fwww.medmastery.com\u002Finstitutions\u002F",{"title":9,"url":10},{"title":80,"group":48,"menu":81},"Legal",[82,85,88,91,94],{"title":83,"url":84},"Imprint","https:\u002F\u002Fwww.medmastery.com\u002Fimprint",{"title":86,"url":87},"Newsletter policy","https:\u002F\u002Fwww.medmastery.com\u002Fnewsletter-privacy-policy",{"title":89,"url":90},"Privacy policy","https:\u002F\u002Fwww.medmastery.com\u002Fprivacy-policy",{"title":92,"url":93},"Cookie Policy","https:\u002F\u002Fwww.medmastery.com\u002Fcookie-policy",{"title":95,"url":96},"Terms","https:\u002F\u002Fwww.medmastery.com\u002Fterms",{"title":98,"group":48,"menu":99},"Customer support",[100,103,106],{"title":101,"url":102},"FAQs","https:\u002F\u002Fwww.medmastery.com\u002Ffaqs",{"title":104,"url":105},"Contact","https:\u002F\u002Fwww.medmastery.com\u002Fcontact",{"title":107,"url":108},"support@medmastery.com","mailto:support@medmastery.com",{"de":110,"es":143,"fr":177},[111,118,128,137],{"title":112,"group":48,"menu":113},"Unternehmen",[114,116,117],{"title":115,"url":52},"Unsere Dozentinnen und Dozenten",{"title":54,"url":55},{"title":57,"url":58},{"title":119,"group":48,"menu":120},"Produkt",[121,122,123,124,125,126,127],{"title":20,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":26,"url":77},{"title":22,"url":10},{"title":129,"group":48,"menu":130},"Rechtliches",[131,133,134,135,136],{"title":132,"url":84},"Impressum",{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":138,"group":48,"menu":139},"Kundenservice",[140,141,142],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},[144,151,162,171],{"title":145,"group":48,"menu":146},"Empresa",[147,149,150],{"title":148,"url":52},"Nuestros profesores",{"title":54,"url":55},{"title":57,"url":58},{"title":152,"group":48,"menu":153},"Producto",[154,156,157,158,159,160,161],{"title":155,"url":7},"Cursos",{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":35,"url":77},{"title":31,"url":10},{"title":163,"group":48,"menu":164},"Información legal",[165,167,168,169,170],{"title":166,"url":84},"Aviso legal",{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":172,"group":48,"menu":173},"Atención al cliente",[174,175,176],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},[178,185,196,204],{"title":179,"group":48,"menu":180},"Entreprise",[181,183,184],{"title":182,"url":52},"Nos enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":277,"meta":343,"internal":353},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":246,"author":267,"readDuration":275,"readDurationFormatted":276},"Who is a candidate for deep brain stimulation treatment for Parkinson’s?","Deep brain stimulation, or DBS, is a surgical procedure that can improve the motor symptoms of Parkinson’s disease including tremor, bradykinesia, rigidity, and dyskinesia.",{"id":215,"name":216},1,"Course previews",[218,229,234,242],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},255,{"platform":223,"name":224,"url":225,"size":226},"YouTube","Deep Brain Stimulation for Parkinson's: Identifying Ideal Candidates","https:\u002F\u002Fyoutu.be\u002FleKwI_KxcmY",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},34.4,"\u003Cp dir=\"ltr\">\u003Cspan>In this lesson from our Parkinson’s Masterclass: Advanced Therapeutics, we use a case to illustrate how to determine when to use deep brain stimulation for the treatment of Parkinson’s and what the patient needs to try first before being eligible for device-assisted or lesioning procedures.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Candidates for DBS should have motor fluctuations and \u002F or dyskinesia that cause disability despite optimal medical management.&nbsp;\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>This means the patient should\u003C\u002Fspan>\u003C\u002Fp>\u003Cul>\u003Cli dir=\"ltr\">\u003Cspan>Be taking at least 4 doses of levodopa\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\">\u003Cspan>Have tried at least one dopamine agonist\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\">\u003Cspan>Have tried an extending agent\u003C\u002Fspan>\u003C\u002Fli>\u003Cli dir=\"ltr\">\u003Cspan>Have tried amantadine (if dyskinesia is present)\u003C\u002Fspan>\u003C\u002Fli>\u003C\u002Ful>\u003Cp dir=\"ltr\">\u003Cspan>If the patient is still symptomatic, they meet the medication criteria for device-assisted or lesioning procedures.&nbsp;\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Using the Movement Disorder Society revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), candidates should have at least a 30% improvement in symptoms going from the OFF to the ON state to qualify.\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>If you would like to learn more about DBS, head over to chapter 3 in our course.\u003C\u002Fspan>\u003C\u002Fp>",{"type":235,"data":236},"cta",{"readDurationInSeconds":237,"text":238,"buttonText":239,"buttonUrl":240,"teachIllustration":241},4,"Start the first chapter of our Parkinson's Masterclass: Advanced Therapeutics course for free","Start chapter 1 now","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister?target=%2Fcourses%2Fparkinsons-masterclass-advanced-therapeutics","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9ab1a4dc-b2e8-4a53-86a4-1f1d531e4aee",{"type":230,"data":243},{"readDurationInSeconds":244,"text":245},13.333333333333334,"\u003Cp dir=\"ltr\">\u003Cspan>Explore cutting-edge Parkinson’s treatments, including device-assisted and lesioning therapies. From deep brain stimulation to MRI-guided focused ultrasound and levodopa-carbidopa intestinal gel, discover the ideal therapy for each patient.&nbsp;\u003C\u002Fspan>\u003C\u002Fp>\u003Cp dir=\"ltr\">\u003Cspan>Learn to discuss therapeutic options, titrate treatments confidently, and navigate potential side effects. Elevate your expertise in Parkinson's care today!\u003C\u002Fspan>\u003C\u002Fp>",{"courses":247,"showAwardsBelow":48},[248],{"id":249,"isFreeCmeCourse":250,"title":251,"type":252,"specialization":253,"teachers":255,"cmeCredits":257,"teacherIllustration":241,"backgroundImage":258,"relativeUrl":259,"lastChanged":260,"created":261,"description":262,"relativeURL":259,"meta":263},13653,false,"Parkinson's Masterclass: Advanced Therapeutics","course",[254],"Neurology and Psychiatry",[256],"Kelvin L. Chou, MD",3.5,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9ab1a4dd-cdb3-463f-941f-441f5f7e0c81","\u002Fcourses\u002Fparkinsons-masterclass-advanced-therapeutics","1775517399","1706570643","Explore cutting-edge Parkinson’s treatments, including device-assisted and lesioning therapies. From deep brain stimulation to MRI-guided focused ultrasound and levodopa-carbidopa intestinal gel, discover the ideal therapy for each patient. Learn to discuss therapeutic options, titrate treatments confidently, and navigate potential side effects. Elevate your expertise in Parkinson's care today!",{"duration":264,"quizzes":265,"lessons":266},7176,6,36,{"id":268,"name":256,"image":269,"profession":270,"relativeUrl":273,"specializations":274},13652,"https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf02-eef5-4b9f-95a2-065d9945a2de",{"name":271,"description":272},"Movement Disorder Specialist","Co-director of both the Parkinson’s Disease and Movement Disorders Division as well as the STIM (Surgical Therapies Improving Movement) program at the University of Michigan.","\u002Fteachers\u002Fkelvin-l-chou-md",[254],60,"1m",[278,305,324],{"id":279,"title":280,"text":281,"image":282,"author":290,"path":298,"readDuration":299,"readDurationFormatted":300,"internal":301},1351,"Starting statins as first-line therapy for hyperlipidemia","Starting statins: how to choose the right agent for your patient, match statin intensity to cardiovascular risk, and monitor effectively after initiation.",{"alt":283,"title":284,"size":285,"location":287},"Healthcare provider discussing starting statins with a patient and reviewing a medication bottle","",{"width":286,"height":286},660,{"bucket":288,"key":289},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC121(2)_magazine image.png",{"id":291,"title":292,"relativeURL":293,"image":294,"professionLong":295,"profession":296,"weight":237},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.",{"name":297},"Internist","\u002Fmagazine\u002Fstarting-statins-first-line-therapy",238,"4m",{"created":302,"updated":303,"published":304},1778960150,1779196374,1778961827,{"id":306,"title":307,"text":308,"image":309,"author":315,"path":317,"readDuration":318,"readDurationFormatted":319,"internal":320},1350,"How to recognize INOCA (ANOCA) on an exercise stress test ","Angina, abnormal stress test, clean coronaries—that's INOCA (or ANOCA), and it carries real risk. Learn to recognize and report it with exercise stress ECG.",{"alt":310,"title":284,"size":311,"location":313},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).",{"width":312,"height":312},1200,{"bucket":288,"key":314},"\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":291,"title":292,"relativeURL":293,"image":294,"professionLong":295,"profession":316,"weight":237},{"name":297},"\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,"3m",{"created":321,"updated":322,"published":323},1778115738,1778799792,1778118255,{"id":325,"title":326,"text":327,"image":328,"author":334,"path":336,"readDuration":337,"readDurationFormatted":338,"internal":339},1348,"Hyperlipidemia screening: who, when, & what to measure","Testing for hyperlipidemia can help you mitigate your patients' cardiovascular risk. Learn who to screen and when, which measures to request, and how to stratify risk.",{"alt":329,"title":284,"size":330,"location":332},"Lipid panel blood sample tubes used to test for hyperlipidemia in a laboratory setting",{"width":331,"height":331},600,{"bucket":288,"key":333},"\u002F2026-04\u002FC121_magazine image.png",{"id":291,"title":292,"relativeURL":293,"image":294,"professionLong":295,"profession":335,"weight":237},{"name":297},"\u002Fmagazine\u002Ftest-for-hyperlipidemia",246,"5m",{"created":340,"updated":341,"published":342},1777403036,1777572381,1777412421,{"seo":344,"og":346},{"title":345,"description":213},"Who is a candidate for deep brain stimulation treatment for Parkinson’s? | Medmastery",{"title":345,"description":213,"image":347},{"alt":348,"title":349,"size":350,"location":351},"profile cartoon view of deep brain stimulator","Who is a candidate for deep brain stimulation treatment for Parkinsons?",{"width":312,"height":312},{"bucket":288,"key":352},"\u002F2024-02\u002FDBS.png",{"id":354,"created":355,"updated":356,"published":357},1025,1707745987,1726593939,1707745683]