Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types
Introduction. Early diagnosis of cardiac autonomic neuropathy is the basis for the risk of heart disease and premature death in patients with type 2 diabetes mellitus (type 2 diabetes). All patients with type 2 diabetes and prediabetes should undergo annual screening, including history taking and ne...
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| Format: | Article |
| Language: | Russian |
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Remedium Group LLC
2021-08-01
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| Series: | Медицинский совет |
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| Online Access: | https://www.med-sovet.pro/jour/article/view/6281 |
| _version_ | 1797841643729059840 |
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| author | L. S. Moshkhoeva A. N. Barinov |
| author_facet | L. S. Moshkhoeva A. N. Barinov |
| author_sort | L. S. Moshkhoeva |
| collection | DOAJ |
| description | Introduction. Early diagnosis of cardiac autonomic neuropathy is the basis for the risk of heart disease and premature death in patients with type 2 diabetes mellitus (type 2 diabetes). All patients with type 2 diabetes and prediabetes should undergo annual screening, including history taking and neurophysiologic evaluation, for early diabetic autonomic neuropathy. This article describes a modern diagnostic technique based on changes in heart rate variability, which allows early detection of damage to the parasympathetic nervous system and timely prescribing disease-modifying treatment in patients with type 2 diabetes.Materials and methods. The study included 50 patients with type 2 diabetes (cf. Age 56.5 ± 13.5 years) and 30 healthy subjects (cf. Age 58 ± 10 years), matched by sex and age. according to the NSC questionnaire, the severity of neurological deficit - according to the NIS-LL scale, neuropathic pain syndrome - according to the TSS scale.Results. In the study group of patients with type 2 diabetes, severe CAN was detected in 13.3%, moderate CAN in 40% of patients, in 46.6% of patients, CAN was not detected. In the group of healthy volunteers, disorders of the autonomic nervous system of moderate were detected in 3.3%, in the remaining 96.7% of autonomic disorders were not accepted.Conclusion. The results of pulse oximetric tests with deep breathing are comparable to the results of the QAT device Case-4 (p < 0.001). The method of pulse oximetric diagnostics is more practical to use in comparison with the hardware QAT. |
| first_indexed | 2024-04-09T16:35:43Z |
| format | Article |
| id | doaj.art-96b31de508bd4d93b75de6d5b35992b5 |
| institution | Directory Open Access Journal |
| issn | 2079-701X 2658-5790 |
| language | Russian |
| last_indexed | 2024-04-09T16:35:43Z |
| publishDate | 2021-08-01 |
| publisher | Remedium Group LLC |
| record_format | Article |
| series | Медицинский совет |
| spelling | doaj.art-96b31de508bd4d93b75de6d5b35992b52023-04-23T06:56:56ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902021-08-0101017818310.21518/2079701X-2021-10-178-1835676Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 typesL. S. Moshkhoeva0A. N. Barinov1Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Introduction. Early diagnosis of cardiac autonomic neuropathy is the basis for the risk of heart disease and premature death in patients with type 2 diabetes mellitus (type 2 diabetes). All patients with type 2 diabetes and prediabetes should undergo annual screening, including history taking and neurophysiologic evaluation, for early diabetic autonomic neuropathy. This article describes a modern diagnostic technique based on changes in heart rate variability, which allows early detection of damage to the parasympathetic nervous system and timely prescribing disease-modifying treatment in patients with type 2 diabetes.Materials and methods. The study included 50 patients with type 2 diabetes (cf. Age 56.5 ± 13.5 years) and 30 healthy subjects (cf. Age 58 ± 10 years), matched by sex and age. according to the NSC questionnaire, the severity of neurological deficit - according to the NIS-LL scale, neuropathic pain syndrome - according to the TSS scale.Results. In the study group of patients with type 2 diabetes, severe CAN was detected in 13.3%, moderate CAN in 40% of patients, in 46.6% of patients, CAN was not detected. In the group of healthy volunteers, disorders of the autonomic nervous system of moderate were detected in 3.3%, in the remaining 96.7% of autonomic disorders were not accepted.Conclusion. The results of pulse oximetric tests with deep breathing are comparable to the results of the QAT device Case-4 (p < 0.001). The method of pulse oximetric diagnostics is more practical to use in comparison with the hardware QAT.https://www.med-sovet.pro/jour/article/view/6281diabetic autonomic neuropathycardiac autonomic neuropathycardiovascular functional testsheart rate variability |
| spellingShingle | L. S. Moshkhoeva A. N. Barinov Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types Медицинский совет diabetic autonomic neuropathy cardiac autonomic neuropathy cardiovascular functional tests heart rate variability |
| title | Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types |
| title_full | Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types |
| title_fullStr | Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types |
| title_full_unstemmed | Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types |
| title_short | Optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types |
| title_sort | optimization of the method for diagnostics of cardial autonomic neuropathy in diabetes mellitus 2 types |
| topic | diabetic autonomic neuropathy cardiac autonomic neuropathy cardiovascular functional tests heart rate variability |
| url | https://www.med-sovet.pro/jour/article/view/6281 |
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