Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus

Objective: Cardiac Autonomic neuropathy is one of the complications in diabetic patients. This study intends to detect the prevalence of QTc prolongation in diabetic patients as well as its relationship with cardiac autonomic neuropathy. Materials & Methods: The present study was conducted...

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Main Author: N Natarajan1 , M S Ramaiyah2
Format: Article
Language:English
Published: Prathima Institute of Medical Sciences 2017-12-01
Series:Perspectives In Medical Research
Subjects:
Online Access:http://www.pimr.org.in/natarajan_vol5-issue3-2017.PDF
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author N Natarajan1 , M S Ramaiyah2
author_facet N Natarajan1 , M S Ramaiyah2
author_sort N Natarajan1 , M S Ramaiyah2
collection DOAJ
description Objective: Cardiac Autonomic neuropathy is one of the complications in diabetic patients. This study intends to detect the prevalence of QTc prolongation in diabetic patients as well as its relationship with cardiac autonomic neuropathy. Materials & Methods: The present study was conducted on 50 diabetic patients. Cardiac autonomic neuropathy was assessed by non-invasive tests: Deep breathing test, Valsalva ratio ,Immediate heart rate response to standing 30:15,B.P rise with sustained hand grip and postural hypotension. Scoring and grading were done for cardiac autonomic neuropathy . Even QT interval and QTc interval were determined. Results: Out of 50 diabetic patients, 22(44%) were males and 28 (56%) females. 26 patients (52%) having grade I cardiac autonomic neuropathy had no prolonged QTc interval . While, 24 patients (48%) had QTc prolonged were associated with grade II, III and IV cardiac autonomic neuropathy. The sensitivity and specificity of prolonged QTc were 46% and 100%, respectively. Conclusion: QTc prolongation correlated positivity with degree of cardiac autonomic neuropathy in diabetic patients
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spelling doaj.art-37d8b567cc924b51b014942dc3f8204e2023-11-24T11:52:43ZengPrathima Institute of Medical SciencesPerspectives In Medical Research2348-14472348-229X2017-12-01536267Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitusN Natarajan1 , M S Ramaiyah20 Kerala Medical CollegeObjective: Cardiac Autonomic neuropathy is one of the complications in diabetic patients. This study intends to detect the prevalence of QTc prolongation in diabetic patients as well as its relationship with cardiac autonomic neuropathy. Materials & Methods: The present study was conducted on 50 diabetic patients. Cardiac autonomic neuropathy was assessed by non-invasive tests: Deep breathing test, Valsalva ratio ,Immediate heart rate response to standing 30:15,B.P rise with sustained hand grip and postural hypotension. Scoring and grading were done for cardiac autonomic neuropathy . Even QT interval and QTc interval were determined. Results: Out of 50 diabetic patients, 22(44%) were males and 28 (56%) females. 26 patients (52%) having grade I cardiac autonomic neuropathy had no prolonged QTc interval . While, 24 patients (48%) had QTc prolonged were associated with grade II, III and IV cardiac autonomic neuropathy. The sensitivity and specificity of prolonged QTc were 46% and 100%, respectively. Conclusion: QTc prolongation correlated positivity with degree of cardiac autonomic neuropathy in diabetic patientshttp://www.pimr.org.in/natarajan_vol5-issue3-2017.PDFdiabetes mellituscardiac autonomic neuropathyqtc interval
spellingShingle N Natarajan1 , M S Ramaiyah2
Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus
Perspectives In Medical Research
diabetes mellitus
cardiac autonomic neuropathy
qtc interval
title Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus
title_full Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus
title_fullStr Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus
title_full_unstemmed Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus
title_short Study of relationship between QTC prolongation and cardiac autonomic neuropathy in Diabetes mellitus
title_sort study of relationship between qtc prolongation and cardiac autonomic neuropathy in diabetes mellitus
topic diabetes mellitus
cardiac autonomic neuropathy
qtc interval
url http://www.pimr.org.in/natarajan_vol5-issue3-2017.PDF
work_keys_str_mv AT nnatarajan1msramaiyah2 studyofrelationshipbetweenqtcprolongationandcardiacautonomicneuropathyindiabetesmellitus