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[Assessment of cardiovascular tests in the diagnosis of diabetic autonomic neuropathies].
Diabete Metab. 1983 Dec; 9(4):264-71.DM

Abstract

Eight tests for cardiovascular reflex function were evaluated in a group of 140 diabetic patients. The sensitivity, reproducibility and normal values of each test were previously assessed in a group of 70 normal controls. The measure of the R-R interval variation during six cycles of deep breathing (expiration/inspiration ratio) proved to be the most sensitive test, and was selected for screening. The Valsalva ratio, the bradycardia/tachycardia ratio post-standing and the blood pressure response to standing and to sustained handgrip served as a confirmatory test of autonomic neuropathy and were related to the severity of the lesion. The R-R interval variation during one deep breathing cycle, the post-standing tachycardia, and the R-R 30/15 standing ratio proved to be of little or not value in assessing cardiovascular neuropathy. Cardiovascular autonomic neuropathy was diagnosed in 38.5% of our diabetic population, predominantly in patients with other clinical evidence of autonomic neuropathy. In a few asymptomatic patients, abnormal cardiovascular responses were the first evidence of autonomic lesion.

Authors

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Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

fre

PubMed ID

6667762

Citation

Fernandez-Castañer, M, et al. "[Assessment of Cardiovascular Tests in the Diagnosis of Diabetic Autonomic Neuropathies]." Diabete & Metabolisme, vol. 9, no. 4, 1983, pp. 264-71.
Fernandez-Castañer M, Figuerola D, Sorribas A, et al. [Assessment of cardiovascular tests in the diagnosis of diabetic autonomic neuropathies]. Diabete Metab. 1983;9(4):264-71.
Fernandez-Castañer, M., Figuerola, D., Sorribas, A., Reynals, E., & Balcells, A. (1983). [Assessment of cardiovascular tests in the diagnosis of diabetic autonomic neuropathies]. Diabete & Metabolisme, 9(4), 264-71.
Fernandez-Castañer M, et al. [Assessment of Cardiovascular Tests in the Diagnosis of Diabetic Autonomic Neuropathies]. Diabete Metab. 1983;9(4):264-71. PubMed PMID: 6667762.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Assessment of cardiovascular tests in the diagnosis of diabetic autonomic neuropathies]. AU - Fernandez-Castañer,M, AU - Figuerola,D, AU - Sorribas,A, AU - Reynals,E, AU - Balcells,A, PY - 1983/12/1/pubmed PY - 2000/3/11/medline PY - 1983/12/1/entrez SP - 264 EP - 71 JF - Diabete & metabolisme JO - Diabete Metab VL - 9 IS - 4 N2 - Eight tests for cardiovascular reflex function were evaluated in a group of 140 diabetic patients. The sensitivity, reproducibility and normal values of each test were previously assessed in a group of 70 normal controls. The measure of the R-R interval variation during six cycles of deep breathing (expiration/inspiration ratio) proved to be the most sensitive test, and was selected for screening. The Valsalva ratio, the bradycardia/tachycardia ratio post-standing and the blood pressure response to standing and to sustained handgrip served as a confirmatory test of autonomic neuropathy and were related to the severity of the lesion. The R-R interval variation during one deep breathing cycle, the post-standing tachycardia, and the R-R 30/15 standing ratio proved to be of little or not value in assessing cardiovascular neuropathy. Cardiovascular autonomic neuropathy was diagnosed in 38.5% of our diabetic population, predominantly in patients with other clinical evidence of autonomic neuropathy. In a few asymptomatic patients, abnormal cardiovascular responses were the first evidence of autonomic lesion. SN - 0338-1684 UR - https://www.unboundmedicine.com/medline/citation/6667762/[Assessment_of_cardiovascular_tests_in_the_diagnosis_of_diabetic_autonomic_neuropathies]_ L2 - https://medlineplus.gov/hearthealthtests.html DB - PRIME DP - Unbound Medicine ER -