Prevalence of cardiac autonomic neuropathy in patients with diabetes.

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Date
2012-07
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Abstract
Background: Autonomic neuropathy is a serious complication of diabetes mellitus. Cardiac autonomic neuropathy (CAN) is chronic diabetic complication with variable prevalence and clinical manifestations. Prevalence of CAN remains less explored domain among type 2 diabetic population. Aim: To analyse the prevalence of CAN in type 1 and type 2 DM. Materials and methods: A total of 152 cases with DM were selected for the study following strict inclusion and exclusion criteria. All the cases underwent a battery of cardiovascular reflex tests designed by Ewing. Results: We observed that overall prevalence of CAN was 51.9%. Prevalence of sympathetic and parasympathetic CAN was 28.9% and 44% respectively. When compared, prevalence of CAN in type 1 patients was significantly different from type 2. Further, significant difference was noted between parasympathetic and sympathetic CAN in these patients. Conclusion: Study concludes that, prevalence of CAN in type 1 DM is higher than type 2. Parasympathetic CAN prevalence is higher than sympathetic CAN in both groups.
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Keywords
Diabetic autonomic neuropathy, diabetes mellitus complication, type 2 diabetes mellitus
Citation
Ramavat Manish R, Ghugare Balaji W, Dinkar Mukesh R, Krishna N Murli. Prevalence of cardiac autonomic neuropathy in patients with diabetes. National Journal of Integrated Research in Medicine. 2012 Jul-Aug; 3(3): 15-19.