Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients
Background and Objective: Cardiovascular autonomic neuropathy (CAN) is the most common and important type of diabetic autonomic neuropathy. Silent myocardial infarction, respiratory failure and increased mortality are the outcomes of CAN. This study was carried out to screen the cardiovascular auton...
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| Format: | Article |
| Language: | fas |
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Golestan University of Medical Sciences
2014-07-01
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| Series: | مجله دانشگاه علوم پزشکی گرگان |
| Subjects: | |
| Online Access: | http://goums.ac.ir/journal/browse.php?a_code=A-10-1-765&slc_lang=en&sid=1 |
| _version_ | 1818564488468627456 |
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| author | Hosseini SM Maleki AR Bazrafshan HR |
| author_facet | Hosseini SM Maleki AR Bazrafshan HR |
| author_sort | Hosseini SM |
| collection | DOAJ |
| description | Background and Objective: Cardiovascular autonomic neuropathy (CAN) is the most common and important type of diabetic autonomic neuropathy. Silent myocardial infarction, respiratory failure and increased mortality are the outcomes of CAN. This study was carried out to screen the cardiovascular autonomic neuropathy in non- insulin dependent diabetics patients. Method: This descriptive - analytic study was carried on 70 (22 males, 48 females) non- insulin dependent diabetics’ patients. Resting heart rate, heart rate variability, orthostatic changes in heart rate, blood pressure and corrected QT interval were recorded for each subject. The final findings were categorized as follow: 0=normal, 1=borderline and 2=CAN positive. Results: 10 (14.3%) of patients were normal, 35 (50%) of patients were borderline and 25 (35.7%) of patients were considered cardiovascular autonomic neuropathy positive. There was significant differences between duration of diabetes and three CAN scores (P<0.05). The systolic blood pressure alterations showed the maximum correlation with CAN scores (r=0.509). Conclusion: In our study, the rate of cardiovascular autonomic neuropathy was higher than other reports. The most important risk factor for cardiovascular autonomic neuropathy was more than 10 years history of diabetes mellitus. |
| first_indexed | 2024-12-14T01:29:35Z |
| format | Article |
| id | doaj.art-304fd34266cd473db61b4bc5ff12ea78 |
| institution | Directory Open Access Journal |
| issn | 1562-4765 2008-4080 |
| language | fas |
| last_indexed | 2024-12-14T01:29:35Z |
| publishDate | 2014-07-01 |
| publisher | Golestan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشگاه علوم پزشکی گرگان |
| spelling | doaj.art-304fd34266cd473db61b4bc5ff12ea782022-12-21T23:22:05ZfasGolestan University of Medical Sciencesمجله دانشگاه علوم پزشکی گرگان1562-47652008-40802014-07-011635663Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patientsHosseini SM0Maleki AR1Bazrafshan HR2 Associate Professor, Department of Physiology, Neuroscience Research Center, Medical Faculty, Golestan University of Medical Sciences, Gorgan, Iran General Physician Associate Professor, Department of Internal Medicine, Medical Faculty, Golestan University of Medical Sciences, Gorgan, Iran Background and Objective: Cardiovascular autonomic neuropathy (CAN) is the most common and important type of diabetic autonomic neuropathy. Silent myocardial infarction, respiratory failure and increased mortality are the outcomes of CAN. This study was carried out to screen the cardiovascular autonomic neuropathy in non- insulin dependent diabetics patients. Method: This descriptive - analytic study was carried on 70 (22 males, 48 females) non- insulin dependent diabetics’ patients. Resting heart rate, heart rate variability, orthostatic changes in heart rate, blood pressure and corrected QT interval were recorded for each subject. The final findings were categorized as follow: 0=normal, 1=borderline and 2=CAN positive. Results: 10 (14.3%) of patients were normal, 35 (50%) of patients were borderline and 25 (35.7%) of patients were considered cardiovascular autonomic neuropathy positive. There was significant differences between duration of diabetes and three CAN scores (P<0.05). The systolic blood pressure alterations showed the maximum correlation with CAN scores (r=0.509). Conclusion: In our study, the rate of cardiovascular autonomic neuropathy was higher than other reports. The most important risk factor for cardiovascular autonomic neuropathy was more than 10 years history of diabetes mellitus.http://goums.ac.ir/journal/browse.php?a_code=A-10-1-765&slc_lang=en&sid=1Diabetes mellitusCardiovascular autonomic neuropathyHypertension |
| spellingShingle | Hosseini SM Maleki AR Bazrafshan HR Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients مجله دانشگاه علوم پزشکی گرگان Diabetes mellitus Cardiovascular autonomic neuropathy Hypertension |
| title | Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients |
| title_full | Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients |
| title_fullStr | Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients |
| title_full_unstemmed | Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients |
| title_short | Cardiovascular autonomic neuropathy among non- insulin dependent diabetics patients |
| title_sort | cardiovascular autonomic neuropathy among non insulin dependent diabetics patients |
| topic | Diabetes mellitus Cardiovascular autonomic neuropathy Hypertension |
| url | http://goums.ac.ir/journal/browse.php?a_code=A-10-1-765&slc_lang=en&sid=1 |
| work_keys_str_mv | AT hosseinism cardiovascularautonomicneuropathyamongnoninsulindependentdiabeticspatients AT malekiar cardiovascularautonomicneuropathyamongnoninsulindependentdiabeticspatients AT bazrafshanhr cardiovascularautonomicneuropathyamongnoninsulindependentdiabeticspatients |