Tags

Type your tag names separated by a space and hit enter

Face immersion reflex for diagnosis of diabetic cardiovascular autonomic neuropathy.
Arch Med Res. 1995 Autumn; 26(3):227-31.AM

Abstract

To evaluate face immersion reflex (FIR) as a diagnostic test for diabetic autonomic neuropathy, we studied 15 patients with diabetic cardiovascular autonomic neuropathy--defined as the presence of at least two other abnormal autonomic tests-and 15 healthy subjects as a control group. All patients underwent six different autonomic tests including deep breathing R-R variation, Valsalva maneuver, heart rate and blood pressure response to standing, intravenous atropine injection and FIR. FIR test was considered positive for autonomic neuropathy if heart rate did not decrease at least 15% of the basal rate after 10 sec of immersion. FIR was positive in all the diabetic patients and negative in the 15 controls. Its sensitivity was higher than any other single autonomic test (p < 0.025). Considering two abnormal autonomic tests as a gold standard for diabetic cardiovascular autonomic neuropathy, sensitivity was 100% for FIR, 66% for deep breathing R-R variation and Valsalva maneuver, 53% for blood pressure (BP) response to standing and 20% for i.v. atropine injection. All the test were highly specific. We conclude FIR test should be considered among diagnostic tests for diabetic cardiovascular autonomic neuropathy.

Authors+Show Affiliations

Departamento de Medicina Interna, Hospital de Especialidades, Centro Médico La Raza, México, D.F.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8580672

Citation

Raúl Ariza, C, et al. "Face Immersion Reflex for Diagnosis of Diabetic Cardiovascular Autonomic Neuropathy." Archives of Medical Research, vol. 26, no. 3, 1995, pp. 227-31.
Raúl Ariza C, Burgos G, Frati AC. Face immersion reflex for diagnosis of diabetic cardiovascular autonomic neuropathy. Arch Med Res. 1995;26(3):227-31.
Raúl Ariza, C., Burgos, G., & Frati, A. C. (1995). Face immersion reflex for diagnosis of diabetic cardiovascular autonomic neuropathy. Archives of Medical Research, 26(3), 227-31.
Raúl Ariza C, Burgos G, Frati AC. Face Immersion Reflex for Diagnosis of Diabetic Cardiovascular Autonomic Neuropathy. Arch Med Res. 1995;26(3):227-31. PubMed PMID: 8580672.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Face immersion reflex for diagnosis of diabetic cardiovascular autonomic neuropathy. AU - Raúl Ariza,C, AU - Burgos,G, AU - Frati,A C, PY - 1995/1/1/pubmed PY - 1995/1/1/medline PY - 1995/1/1/entrez SP - 227 EP - 31 JF - Archives of medical research JO - Arch Med Res VL - 26 IS - 3 N2 - To evaluate face immersion reflex (FIR) as a diagnostic test for diabetic autonomic neuropathy, we studied 15 patients with diabetic cardiovascular autonomic neuropathy--defined as the presence of at least two other abnormal autonomic tests-and 15 healthy subjects as a control group. All patients underwent six different autonomic tests including deep breathing R-R variation, Valsalva maneuver, heart rate and blood pressure response to standing, intravenous atropine injection and FIR. FIR test was considered positive for autonomic neuropathy if heart rate did not decrease at least 15% of the basal rate after 10 sec of immersion. FIR was positive in all the diabetic patients and negative in the 15 controls. Its sensitivity was higher than any other single autonomic test (p < 0.025). Considering two abnormal autonomic tests as a gold standard for diabetic cardiovascular autonomic neuropathy, sensitivity was 100% for FIR, 66% for deep breathing R-R variation and Valsalva maneuver, 53% for blood pressure (BP) response to standing and 20% for i.v. atropine injection. All the test were highly specific. We conclude FIR test should be considered among diagnostic tests for diabetic cardiovascular autonomic neuropathy. SN - 0188-4409 UR - https://www.unboundmedicine.com/medline/citation/8580672/Face_immersion_reflex_for_diagnosis_of_diabetic_cardiovascular_autonomic_neuropathy_ DB - PRIME DP - Unbound Medicine ER -