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[Comparative value of 24-hour ECG monitoring and standardized maneuvers in the detection and exploration of cardiac autonomic neuropathy in diabetics].
Diabete Metab. 1987 Jun; 13(3):205-9.DM

Abstract

24-hour continuous electrocardiographic ECG monitoring and standardized tests were performed to detect cardiac autonomic neuropathy in diabetic patients. Thirty-eight patients, with a mean duration of diabetes of 10 years, twenty-five IDDM and thirteen NIDDM, and thirty-two controls, with no illness or treatment which could alter the heart rate (HR), were studied. Five standardized tests were performed. Three tests investigated parasympathetic function: variations of HR during Valsalva manoeuvre, deep breathing and standing. The other two tests investigated sympathetic function: detection of orthostatic hypotension and blood pressure response to sustained handgrip. Parasympathetic HR control was impaired in twenty-nine patients, together with impaired sympathetic cardiovascular control in seven. According to the 6 indices studied, 24-hour ECG monitoring detected abnormalities in only eight patients. Mean minimum 24-hour HR and mean sleeping HR were elevated in the group of patients whose five standardized tests were normal and in the group of patients with impairment of both parasympathetic and sympathetic cardiovascular control, but not in the group of patients with only impaired parasympathetic HR control. This study suggests that 24-hour ECG monitoring is a less sensitive test of cardiac autonomic neuropathy than standardized tests. Moreover, it shows HR abnormalities that are not specific to cardiac autonomic neuropathy.

Authors

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Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

fre

PubMed ID

3609422

Citation

Valensi, P, et al. "[Comparative Value of 24-hour ECG Monitoring and Standardized Maneuvers in the Detection and Exploration of Cardiac Autonomic Neuropathy in Diabetics]." Diabete & Metabolisme, vol. 13, no. 3, 1987, pp. 205-9.
Valensi P, Attali JR, Sachs RN, et al. [Comparative value of 24-hour ECG monitoring and standardized maneuvers in the detection and exploration of cardiac autonomic neuropathy in diabetics]. Diabete Metab. 1987;13(3):205-9.
Valensi, P., Attali, J. R., Sachs, R. N., Leroy, P., Palsky, D., Lanfranchi, J., & Sebaoun, J. (1987). [Comparative value of 24-hour ECG monitoring and standardized maneuvers in the detection and exploration of cardiac autonomic neuropathy in diabetics]. Diabete & Metabolisme, 13(3), 205-9.
Valensi P, et al. [Comparative Value of 24-hour ECG Monitoring and Standardized Maneuvers in the Detection and Exploration of Cardiac Autonomic Neuropathy in Diabetics]. Diabete Metab. 1987;13(3):205-9. PubMed PMID: 3609422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Comparative value of 24-hour ECG monitoring and standardized maneuvers in the detection and exploration of cardiac autonomic neuropathy in diabetics]. AU - Valensi,P, AU - Attali,J R, AU - Sachs,R N, AU - Leroy,P, AU - Palsky,D, AU - Lanfranchi,J, AU - Sebaoun,J, PY - 1987/6/1/pubmed PY - 2000/3/11/medline PY - 1987/6/1/entrez SP - 205 EP - 9 JF - Diabete & metabolisme JO - Diabete Metab VL - 13 IS - 3 N2 - 24-hour continuous electrocardiographic ECG monitoring and standardized tests were performed to detect cardiac autonomic neuropathy in diabetic patients. Thirty-eight patients, with a mean duration of diabetes of 10 years, twenty-five IDDM and thirteen NIDDM, and thirty-two controls, with no illness or treatment which could alter the heart rate (HR), were studied. Five standardized tests were performed. Three tests investigated parasympathetic function: variations of HR during Valsalva manoeuvre, deep breathing and standing. The other two tests investigated sympathetic function: detection of orthostatic hypotension and blood pressure response to sustained handgrip. Parasympathetic HR control was impaired in twenty-nine patients, together with impaired sympathetic cardiovascular control in seven. According to the 6 indices studied, 24-hour ECG monitoring detected abnormalities in only eight patients. Mean minimum 24-hour HR and mean sleeping HR were elevated in the group of patients whose five standardized tests were normal and in the group of patients with impairment of both parasympathetic and sympathetic cardiovascular control, but not in the group of patients with only impaired parasympathetic HR control. This study suggests that 24-hour ECG monitoring is a less sensitive test of cardiac autonomic neuropathy than standardized tests. Moreover, it shows HR abnormalities that are not specific to cardiac autonomic neuropathy. SN - 0338-1684 UR - https://www.unboundmedicine.com/medline/citation/3609422/[Comparative_value_of_24_hour_ECG_monitoring_and_standardized_maneuvers_in_the_detection_and_exploration_of_cardiac_autonomic_neuropathy_in_diabetics]_ DB - PRIME DP - Unbound Medicine ER -