Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers
Aim: To study the prevalence of cardiac autonomic neuropathy (CAN) in patients with Type 2 diabetes mellitus at high risk for foot ulcers. Materials and Methods: We screened patients attending diabetic clinic for identifying patients at high risk for foot ulcers. Those with foot risk category 1, 2 a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Indian Journal of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=2;spage=282;epage=285;aulast=Menon |
| _version_ | 1818893094304612352 |
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| author | Anil S Menon Abhinav Dixit M K Garg R Girish |
| author_facet | Anil S Menon Abhinav Dixit M K Garg R Girish |
| author_sort | Anil S Menon |
| collection | DOAJ |
| description | Aim: To study the prevalence of cardiac autonomic neuropathy (CAN) in patients with Type 2 diabetes mellitus at high risk for foot ulcers. Materials and Methods: We screened patients attending diabetic clinic for identifying patients at high risk for foot ulcers. Those with foot risk category 1, 2 and 3 as per criteria of Foot Care Interest Group were subjected to battery of cardiovascular autonomic reflex tests. Those with one abnormal test were termed as probable CAN and those with two abnormal tests as definite CAN. Those with postural fall in blood pressure with one other abnormal test were termed to have advanced CAN. Results: A total of 74 patients were recruited in the study. The prevalence of abnormal cardiovascular autonomic reflex test was sustained hand grip 81%, E/I ratio 66.2%, 30:15 ratio 28.3% and orthostatic hypotension 13.5%. The prevalence of possible CAN was 31.0% (23/74) and definite CAN was 66.2% (49/74). Ten patients had advanced CAN. There was no observable difference in presence of probable or definite CAN in three risk category for foot ulcers. Conclusion: We found a high prevalence of CAN in subgroup of diabetic patients at increased risk for foot ulcer. |
| first_indexed | 2024-12-19T18:07:08Z |
| format | Article |
| id | doaj.art-f20602c425cf487f9af8fb2109565f30 |
| institution | Directory Open Access Journal |
| issn | 2230-8210 |
| language | English |
| last_indexed | 2024-12-19T18:07:08Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Endocrinology and Metabolism |
| spelling | doaj.art-f20602c425cf487f9af8fb2109565f302022-12-21T20:11:25ZengWolters Kluwer Medknow PublicationsIndian Journal of Endocrinology and Metabolism2230-82102017-01-0121228228510.4103/ijem.IJEM_542_16Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcersAnil S MenonAbhinav DixitM K GargR GirishAim: To study the prevalence of cardiac autonomic neuropathy (CAN) in patients with Type 2 diabetes mellitus at high risk for foot ulcers. Materials and Methods: We screened patients attending diabetic clinic for identifying patients at high risk for foot ulcers. Those with foot risk category 1, 2 and 3 as per criteria of Foot Care Interest Group were subjected to battery of cardiovascular autonomic reflex tests. Those with one abnormal test were termed as probable CAN and those with two abnormal tests as definite CAN. Those with postural fall in blood pressure with one other abnormal test were termed to have advanced CAN. Results: A total of 74 patients were recruited in the study. The prevalence of abnormal cardiovascular autonomic reflex test was sustained hand grip 81%, E/I ratio 66.2%, 30:15 ratio 28.3% and orthostatic hypotension 13.5%. The prevalence of possible CAN was 31.0% (23/74) and definite CAN was 66.2% (49/74). Ten patients had advanced CAN. There was no observable difference in presence of probable or definite CAN in three risk category for foot ulcers. Conclusion: We found a high prevalence of CAN in subgroup of diabetic patients at increased risk for foot ulcer.http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=2;spage=282;epage=285;aulast=MenonCardiac autonomic neuropathydiabetesfoot ulcers |
| spellingShingle | Anil S Menon Abhinav Dixit M K Garg R Girish Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers Indian Journal of Endocrinology and Metabolism Cardiac autonomic neuropathy diabetes foot ulcers |
| title | Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers |
| title_full | Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers |
| title_fullStr | Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers |
| title_full_unstemmed | Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers |
| title_short | Cardiac autonomic neuropathy in patients with Type 2 diabetes mellitus at high risk for foot ulcers |
| title_sort | cardiac autonomic neuropathy in patients with type 2 diabetes mellitus at high risk for foot ulcers |
| topic | Cardiac autonomic neuropathy diabetes foot ulcers |
| url | http://www.ijem.in/article.asp?issn=2230-8210;year=2017;volume=21;issue=2;spage=282;epage=285;aulast=Menon |
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