Role of isometric hand grip test and resting blood pressure measurement in diagnosing cardiovascular autonomic neuropathy in patients with diabetes mellitus.
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Date
2012-09
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Abstract
Background: Diabetes is an iceberg disease with many complications like cardiovascular disease & diabetic neuropathy. Diabetic autonomic neuropathy is least recognized & most frequent complication. Cardiac autonomic neuropathy is associated with fatal outcome like silent myocardial ischemia & intra-operative liability. With this background we have evaluated the cardiac autonomic neuropathy in diabetic patients using resting blood pressure measurement & isometric hand grip test. Aim:Aim of the study is to analyze the role of handgrip test of & resting blood pressure in diagnosing Cardiac Autonomic Neuropathy. Materials And Methods: A Present cross sectional study was carried out in 50 diabetic patients & 50 controls(age and sex matched) at Sir T. Hospital Bhavnagar. Each subject was evaluated for cardiovascular autonomic neuropathy by isometric hand grip test & resting blood pressure.Diabetic patients were divided in 3 groups according to duration of disease(groupI-< 5 year, II-6 to 10 year, III- > 10 year) to evaluate the impact of duration of disease on autonomic nervous system.We have used student’s T test for comparisons of result between 2 groups. Result:The mean value of resting systolic blood pressure(RSBP) & resting diastolic blood pressure (RDBP)is comparatively higher in diabetic patients compared to controls &the mean value of BP is increasing with duration of diabetes. Isometric hand grip test failure rate was higher in diabetic group than controls. Conclusion: outcome of the study indicates that cardiac autonomic neuropathy is seen in diabetic patients which progresses with duration. Implication of study: isometric hand grip test & resting BP measurement is effective diagnostic tool for cardiac autonomic neuropathy & it also show association with duration of disease.
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Keywords
Isometric Hand Grip Test, autonomic dysfunction, cardiovascular autonomic neuropathy
Citation
Makwana Komal, Mehta Hemant B, Gokhle Pradnya A, Shah Chinmay J, Jameliya Manjula, Kalasava Komal. Role of isometric hand grip test and resting blood pressure measurement in diagnosing cardiovascular autonomic neuropathy in patients with diabetes mellitus. National Journal of Integrated Research in Medicine. 2012 Sept-Oct; 3(4): 57-60.