Is cardiac autonomic neuropathy the basis of nonischemic diabetic cardiomyopathy?
نویسندگان
چکیده
Autonomic diabetic neuropathy is a common and serious complication of diabetes mellitus with variable multiple organ involvement, principally of the cardiovascular system, but also of the gastrointestinal and urogenital tracts (1). Cardiac autonomic neuropathy (CAN) causes alterations in heart rate control and vascular dynamics, which may result in disabling clinical and functional manifestations, including resting tachycardia, exercise intolerance, postural hypotension, enhanced intraoperative and
منابع مشابه
Determination of sensitivity and specificity of QT interval in ECG of diabetic patients for ndiagnosis of cardiac autonomic neuropathy
one of the important complications of diabetes mellitus that physicians pay less attention to is diabetic autonomic neuropathy(DNA) ,especially cardiac autonomic neuropathy (CAN).this has a poor prognosis and is accompanied by sudden death risk,recently several investigations that were carried out for CAN detection ,suggested that QT-interval prolongation in these patients is an important diagn...
متن کاملنوروپاتی دیابتی و پیشگیری از آن (مقاله مروری)
Background: Diabetic neuropathy is an incapacitating disease that afflicts almost 50 percent of patients with diabetes. A late finding in type 1 diabetes, diabetic neuropathy can be an early finding in non insulin-dependent diabetes. Diabetic neuropathies are divided primarily into two groups, sensorimotor and autonomic. Patients may acquire only one type of diabetic neuropathy or may present w...
متن کاملProlonged QT period in diabetic autonomic neuropathy: a possible role in sudden cardiac death?
Twenty four men with insulin dependent diabetes and different degrees of autonomic neuropathy were studied to establish the response of the QT interval to various heart rates. Nine men with autonomic neuropathy had a longer QT interval than 13 healthy individuals and 15 patients who had diabetes without, or with only mild, autonomic neuropathy. Those with autonomic neuropathy also had a proport...
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Corresponding author: Jae Hyoung Cho https://orcid.org/0000-0003-2235-8874 Department of Endocrinology and Metabolism, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea E-mail: [email protected] Type 2 diabetes mellitus causes many kinds of chronic complications, such as microvascular complications including di...
متن کاملDiabetic cardiomyopathy: evidence, mechanisms, and therapeutic implications.
The presence of a diabetic cardiomyopathy, independent of hypertension and coronary artery disease, is still controversial. This systematic review seeks to evaluate the evidence for the existence of this condition, to clarify the possible mechanisms responsible, and to consider possible therapeutic implications. The existence of a diabetic cardiomyopathy is supported by epidemiological findings...
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عنوان ژورنال:
- JACC. Cardiovascular imaging
دوره 3 12 شماره
صفحات -
تاریخ انتشار 2010