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[Correlations between cardiorespiratory reflex impairment and distal neuropathy in diabetics free of clinical symptoms of autonomic neuropathy].
Orv Hetil. 1990 Oct 07; 131(40):2187-8, 2191-4.OH

Abstract

Signs of autonomic cardiac neuropathy and its association with distal symmetrical polyneuropathy were investigated in adult diabetic patients free from clinical symptoms of autonomic neuropathy. Cardiorespiratory reflexes were assessed by non-invasive tests (deep-breathing, Valsalva manoeuvre and lying-to-standing) evaluating parasympathetic function of cardiac innervation. Measurement of motor nerve conduction velocity in both peroneal nerves and neurological physical examination were carried out for assessment of distal somatic neuropathy. Among 64 diabetics, definitive signs of cardiac autonomic neuropathy were found in 28 patients (44%), early signs of cardiac autonomic neuropathy were observed in 19 patients (30%) while no alterations were documented in 17 patients (26%). The values of motor nerve conduction velocity in peroneal nerves (41.8 +/- 0.7 m/s) were significantly (p less than 0.01) lower in patients with definitive cardiac autonomic neuropathy (n = 28) than those (45.8 +/- 1.1 m/s) of patients without any signs of cardiac autonomic neuropathy (n = 17). These latter values were, however, significantly (p less than 0.001) lower than those (53.7 +/- 0.7 m/s) of control subjects (n = 50). Abnormal results of non-invasive tests for autonomic neuropathy, i.e. alterations of cardiorespiratory reflexes indicating parasympathetic impairment in cardiac innervation could be often found in diabetics without clinical signs of autonomic neuropathy. These alterations could be frequently observed in diabetics with distal symmetrical neuropathy as well as in diabetic patients with one or more late specific complications.

Authors+Show Affiliations

Fövárosl István Kórház-Rendelöintézet Merényi Gusztáv Kórháza, Belgyógyászati Osztály.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

hun

PubMed ID

2234908

Citation

Jermendy, G, et al. "[Correlations Between Cardiorespiratory Reflex Impairment and Distal Neuropathy in Diabetics Free of Clinical Symptoms of Autonomic Neuropathy]." Orvosi Hetilap, vol. 131, no. 40, 1990, pp. 2187-8, 2191-4.
Jermendy G, Tóth L, Vörös P, et al. [Correlations between cardiorespiratory reflex impairment and distal neuropathy in diabetics free of clinical symptoms of autonomic neuropathy]. Orv Hetil. 1990;131(40):2187-8, 2191-4.
Jermendy, G., Tóth, L., Vörös, P., Király, M., Perényi, J., Kammerer, L., & Pogátsa, G. (1990). [Correlations between cardiorespiratory reflex impairment and distal neuropathy in diabetics free of clinical symptoms of autonomic neuropathy]. Orvosi Hetilap, 131(40), 2187-8, 2191-4.
Jermendy G, et al. [Correlations Between Cardiorespiratory Reflex Impairment and Distal Neuropathy in Diabetics Free of Clinical Symptoms of Autonomic Neuropathy]. Orv Hetil. 1990 Oct 7;131(40):2187-8, 2191-4. PubMed PMID: 2234908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Correlations between cardiorespiratory reflex impairment and distal neuropathy in diabetics free of clinical symptoms of autonomic neuropathy]. AU - Jermendy,G, AU - Tóth,L, AU - Vörös,P, AU - Király,M, AU - Perényi,J, AU - Kammerer,L, AU - Pogátsa,G, PY - 1990/10/7/pubmed PY - 1990/10/7/medline PY - 1990/10/7/entrez SP - 2187-8, 2191-4 JF - Orvosi hetilap JO - Orv Hetil VL - 131 IS - 40 N2 - Signs of autonomic cardiac neuropathy and its association with distal symmetrical polyneuropathy were investigated in adult diabetic patients free from clinical symptoms of autonomic neuropathy. Cardiorespiratory reflexes were assessed by non-invasive tests (deep-breathing, Valsalva manoeuvre and lying-to-standing) evaluating parasympathetic function of cardiac innervation. Measurement of motor nerve conduction velocity in both peroneal nerves and neurological physical examination were carried out for assessment of distal somatic neuropathy. Among 64 diabetics, definitive signs of cardiac autonomic neuropathy were found in 28 patients (44%), early signs of cardiac autonomic neuropathy were observed in 19 patients (30%) while no alterations were documented in 17 patients (26%). The values of motor nerve conduction velocity in peroneal nerves (41.8 +/- 0.7 m/s) were significantly (p less than 0.01) lower in patients with definitive cardiac autonomic neuropathy (n = 28) than those (45.8 +/- 1.1 m/s) of patients without any signs of cardiac autonomic neuropathy (n = 17). These latter values were, however, significantly (p less than 0.001) lower than those (53.7 +/- 0.7 m/s) of control subjects (n = 50). Abnormal results of non-invasive tests for autonomic neuropathy, i.e. alterations of cardiorespiratory reflexes indicating parasympathetic impairment in cardiac innervation could be often found in diabetics without clinical signs of autonomic neuropathy. These alterations could be frequently observed in diabetics with distal symmetrical neuropathy as well as in diabetic patients with one or more late specific complications. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/2234908/[Correlations_between_cardiorespiratory_reflex_impairment_and_distal_neuropathy_in_diabetics_free_of_clinical_symptoms_of_autonomic_neuropathy]_ DB - PRIME DP - Unbound Medicine ER -