Update of cardiovascular autonomic neuropathy in patients with diabetes
The burden of diabetic cardiovascular autonomic neuropathy (CAN) is expected to increase due to the diabetes epidemic and its early and widespread appearance. CAN has a definite prognostic role for mortality and cardiovascular morbidity. Putative mechanisms for this are tachycardia, QT interval prol...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2021-06-01
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| Series: | Romanian Medical Journal |
| Subjects: | |
| Online Access: | https://rmj.com.ro/articles/2021.2/RMJ_2021_2_Art-06.pdf |
| _version_ | 1797333168141893632 |
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| author | Andra-Elena Nica Carmen Dobjanschi Oana Andreea Parlițeanu Emilia Rusu Gabriela Radulian |
| author_facet | Andra-Elena Nica Carmen Dobjanschi Oana Andreea Parlițeanu Emilia Rusu Gabriela Radulian |
| author_sort | Andra-Elena Nica |
| collection | DOAJ |
| description | The burden of diabetic cardiovascular autonomic neuropathy (CAN) is expected to increase due to the diabetes epidemic and its early and widespread appearance. CAN has a definite prognostic role for mortality and cardiovascular morbidity. Putative mechanisms for this are tachycardia, QT interval prolongation, orthostatic hypotension, reverse dipping, and impaired heart rate variability, while emerging mechanisms like inflammation support the pervasiveness of autonomic dysfunction. Efforts to overcome CAN under-diagnosis are: by promoting screening for symptoms and signs; by simplifying cardiovascular reflex tests. |
| first_indexed | 2024-03-08T07:59:51Z |
| format | Article |
| id | doaj.art-98d2bdba3e9b4ff18aff90ec6b00607e |
| institution | Directory Open Access Journal |
| issn | 1220-5478 2069-606X |
| language | English |
| last_indexed | 2024-03-08T07:59:51Z |
| publishDate | 2021-06-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Medical Journal |
| spelling | doaj.art-98d2bdba3e9b4ff18aff90ec6b00607e2024-02-02T12:37:16ZengAmaltea Medical Publishing HouseRomanian Medical Journal1220-54782069-606X2021-06-0168216216810.37897/RMJ.2021.2.6Update of cardiovascular autonomic neuropathy in patients with diabetesAndra-Elena Nica0Carmen Dobjanschi1Oana Andreea Parlițeanu2Emilia Rusu3Gabriela Radulian4Universitatea de Medicină și Farmacie „Carol Davila“, Bucureşti, România; Spitalul Clinic „Nicolae Malaxa“, Bucureşti, RomâniaUniversitatea de Medicină și Farmacie „Carol Davila“, Bucureşti, România; Spitalul Clinic „Nicolae Malaxa“, Bucureşti, RomâniaUniversitatea de Medicină și Farmacie „Carol Davila“, Bucureşti, România; Clinica Sanamed Hospital, Bucureşti, RomâniaUniversitatea de Medicină și Farmacie „Carol Davila“, Bucureşti, România; Spitalul Clinic „Nicolae Malaxa“, Bucureşti, RomâniaUniversitatea de Medicină și Farmacie „Carol Davila“, Bucureşti, RomâniaThe burden of diabetic cardiovascular autonomic neuropathy (CAN) is expected to increase due to the diabetes epidemic and its early and widespread appearance. CAN has a definite prognostic role for mortality and cardiovascular morbidity. Putative mechanisms for this are tachycardia, QT interval prolongation, orthostatic hypotension, reverse dipping, and impaired heart rate variability, while emerging mechanisms like inflammation support the pervasiveness of autonomic dysfunction. Efforts to overcome CAN under-diagnosis are: by promoting screening for symptoms and signs; by simplifying cardiovascular reflex tests.https://rmj.com.ro/articles/2021.2/RMJ_2021_2_Art-06.pdfcardiovascular autonomic neuropathycardiovascular reflex testsdiabetes mellitus |
| spellingShingle | Andra-Elena Nica Carmen Dobjanschi Oana Andreea Parlițeanu Emilia Rusu Gabriela Radulian Update of cardiovascular autonomic neuropathy in patients with diabetes Romanian Medical Journal cardiovascular autonomic neuropathy cardiovascular reflex tests diabetes mellitus |
| title | Update of cardiovascular autonomic neuropathy in patients with diabetes |
| title_full | Update of cardiovascular autonomic neuropathy in patients with diabetes |
| title_fullStr | Update of cardiovascular autonomic neuropathy in patients with diabetes |
| title_full_unstemmed | Update of cardiovascular autonomic neuropathy in patients with diabetes |
| title_short | Update of cardiovascular autonomic neuropathy in patients with diabetes |
| title_sort | update of cardiovascular autonomic neuropathy in patients with diabetes |
| topic | cardiovascular autonomic neuropathy cardiovascular reflex tests diabetes mellitus |
| url | https://rmj.com.ro/articles/2021.2/RMJ_2021_2_Art-06.pdf |
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