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[Connection between painless abnormal ST-deflection and autonomic neuropathy in diabetes mellitus].
Orv Hetil. 1993 Jan 10; 134(2):65-9.OH

Abstract

In order to assess the relationship between abnormal but silent ST-segment depression and autonomic neuropathy 63 diabetic patients (age: 40-71 years, duration of diabetes: 2-32 years) without a history of angina pectoris were investigated. Transient ST-segment depression was assessed by 24 hours Holter monitoring and, in addition, dynamic exercise on bicycle ergometer was also performed in all but 7 patients. Autonomic neuropathy was evaluated by cardiovascular function tests (deep breathing, Valsalva manoeuvre and lying-to-standing). Abnormal (> or = 2 mm) ST segment depression was observed in 11 patients (18%) while signs of autonomic neuropathy were found in 37 diabetics (59%). Signs of autonomic neuropathy were significantly (p < 0.01) more often documented in patients with (11/11) than without (26/52) abnormal ST-segment depression. It was concluded that autonomic neuropathy could be a possible explanation for lacking symptoms from abnormal ST-segment depression in diabetic patients.

Authors+Show Affiliations

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

Pub Type(s)

English Abstract
Journal Article
Review

Language

hun

PubMed ID

8419884

Citation

Jermendy, G, et al. "[Connection Between Painless Abnormal ST-deflection and Autonomic Neuropathy in Diabetes Mellitus]." Orvosi Hetilap, vol. 134, no. 2, 1993, pp. 65-9.
Jermendy G, Dávidovits Z, Khoór S. [Connection between painless abnormal ST-deflection and autonomic neuropathy in diabetes mellitus]. Orv Hetil. 1993;134(2):65-9.
Jermendy, G., Dávidovits, Z., & Khoór, S. (1993). [Connection between painless abnormal ST-deflection and autonomic neuropathy in diabetes mellitus]. Orvosi Hetilap, 134(2), 65-9.
Jermendy G, Dávidovits Z, Khoór S. [Connection Between Painless Abnormal ST-deflection and Autonomic Neuropathy in Diabetes Mellitus]. Orv Hetil. 1993 Jan 10;134(2):65-9. PubMed PMID: 8419884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Connection between painless abnormal ST-deflection and autonomic neuropathy in diabetes mellitus]. AU - Jermendy,G, AU - Dávidovits,Z, AU - Khoór,S, PY - 1993/1/10/pubmed PY - 1993/1/10/medline PY - 1993/1/10/entrez SP - 65 EP - 9 JF - Orvosi hetilap JO - Orv Hetil VL - 134 IS - 2 N2 - In order to assess the relationship between abnormal but silent ST-segment depression and autonomic neuropathy 63 diabetic patients (age: 40-71 years, duration of diabetes: 2-32 years) without a history of angina pectoris were investigated. Transient ST-segment depression was assessed by 24 hours Holter monitoring and, in addition, dynamic exercise on bicycle ergometer was also performed in all but 7 patients. Autonomic neuropathy was evaluated by cardiovascular function tests (deep breathing, Valsalva manoeuvre and lying-to-standing). Abnormal (> or = 2 mm) ST segment depression was observed in 11 patients (18%) while signs of autonomic neuropathy were found in 37 diabetics (59%). Signs of autonomic neuropathy were significantly (p < 0.01) more often documented in patients with (11/11) than without (26/52) abnormal ST-segment depression. It was concluded that autonomic neuropathy could be a possible explanation for lacking symptoms from abnormal ST-segment depression in diabetic patients. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/8419884/[Connection_between_painless_abnormal_ST_deflection_and_autonomic_neuropathy_in_diabetes_mellitus]_ DB - PRIME DP - Unbound Medicine ER -