Autonomic dysfunction in cardiovascular system of type 2 diabetic mellitus A bedside evaluation

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dc.contributor.authorKarupasamy, Ganesamoorthyen_US
dc.contributor.authorKarthick, K.en_US
dc.date.accessioned2019-12-02T10:09:05Z
dc.date.available2019-12-02T10:09:05Z
dc.date.issued2018
dc.description.abstractIntroduction: In 20 to 40% of all diabetes mellitus patients some abnormalities of autonomic function is present. Diabetic autonomic neuropathy can involve both sympathetic and parasympathetic nervous system. Parasympathetic abnormalities appear earlier and sympathetic innervations may remain intact even in presence of severe Parasympathetic damage. The aim of the study: To determine the various aspect of autonomic neuropathy in the diabetic population using series of standardized test, to interpret the different type of presentation of autonomic neuropathy in diabetes mellitus. Materials and methods: Sixty patients with mean age of 57.7% who had non-insulin dependent diabetes mellitus, varying from one year to fifteen years duration with normal 12 lead electrocardiograph were selected for the study. With standard autonomic function test procedures for both sympathetic and parasympathetic were done with suitable inclusion criteria. Results: Peripheral neuropathy was observed in 40% (24/60) of patients. In 46.6% (28/60) patients Pupillary changes were observed. In patients with peripheral neuropathy, 95.8% (23/24) had Pupillary changes. Postural hypotension was observed in 36.7% (22/60). The results of various tests of autonomic function are as follows. While interpreting the results all borderline cases were considered as normal. The rise of heart rate less than ten was observed in 40% of study group with mean of6.94.Among the patients, 36.7% (22/60) had fallen in blood pressure of more than 30millimeter of mercury. Conclusion: Newer drugs have to be tried for comforting many diabetics with clinical autonomic neuropathy afflicted with this condition in that at least the quality of life of with diabetic neuropathy will improveen_US
dc.identifier.affiliationsAssociate Professor, Department of General Medicine, Government Dharmapuri Medical College, Dharmapuri, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of General Medicine, Government Dharmapuri Medical College, Dharmapuri, India, drkarthi02@gmail.comen_US
dc.identifier.citationKarupasamy Ganesamoorthy, Karthick K.. Autonomic dysfunction in cardiovascular system of type 2 diabetic mellitus A bedside evaluation. International Archives of Integrated Medicine. 2018 Mar; 5(3): 30-33en_US
dc.identifier.issn2394-0026
dc.identifier.issn2394-0034
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/187042
dc.languageenen_US
dc.publisherEducational Society for Excellenceen_US
dc.relation.issuenumber3en_US
dc.relation.volume5en_US
dc.subjectAutonomic Nerve Dysfunctionen_US
dc.subjectDiabetes Mellitusen_US
dc.subjectDiabetic neuropathyen_US
dc.subjectCardiovascular Risken_US
dc.titleAutonomic dysfunction in cardiovascular system of type 2 diabetic mellitus A bedside evaluationen_US
dc.typeJournal Articleen_US
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