scholarly journals Quantitative evaluation of diabetic autonomic neuropathy by using heart rate variations. Determination of the normal range for the diagnosis of autonomic neuropathy.

1985 ◽  
Vol 145 (3) ◽  
pp. 233-241 ◽  
Author(s):  
NOBORU OIKAWA ◽  
MASANORI UMETSU ◽  
TAKAYOSHI TOYOTA ◽  
YOSHIO GOTO
1982 ◽  
Vol 63 (1) ◽  
pp. 17-22 ◽  
Author(s):  
P. M. A. Calverley ◽  
D. J. Ewing ◽  
I. W. Campbell ◽  
P. K. Wraith ◽  
H. M. Brash ◽  
...  

1. Unexplained cardiorespiratory arrests have been reported in patients with diabetic autonomic neuropathy and these could be due to denervation of the carotid chemoreceptors. 2. We have studied the ventilatory response to transient hypoxia () during exercise in 22 male diabetic patients, six with symptomatic and cardiovascular evidence to suggest diabetic autonomic neuropathy (DAN+) and 12 without these features (DAN−). 3. There was no difference in the ventilatory response to transient hypoxia between the different groups of diabetic patients ( in DAN+ patients = −0·9 ± 0·2 litre min−1 kPa−1; in DAN− patients = −1·2 ± 0·6 litres min−1 kPa−1) even allowing for differences in the level of exercise achieved (CO2 production in DAN+ patients = 743 ± 103 ml/min; CO2 production in DAN– patients = 800 ± 144 ml/min). These results fell within our normal range for ventilatory response to transient hypoxia at this level of exercise. 4. The heart rate response to transient hypoxia varied within the groups but was significantly (P < 0·05) less in the patients with established diabetic autonomic neuropathy. 5. We conclude that the peripheral chemoreceptors are intact in diabetic autonomic neuropathy and that other mechanisms must be implicated in the unexpected cardiorespiratory arrests seen in these patients.


1995 ◽  
Vol 115 (3) ◽  
pp. 460-465
Author(s):  
Toshihiro Nishimura ◽  
Souzaburou Yoshihara ◽  
Kazuyuki Nagatsuka ◽  
Takeshi Inoue ◽  
Masao Saito ◽  
...  

1998 ◽  
Vol 15 (2) ◽  
pp. 111-121 ◽  
Author(s):  
Triantaffilos P. Didangelos ◽  
Vasilios G. Athyros ◽  
Dimitrios T. Karamitsos ◽  
Athanasios A. Papageorgiou ◽  
Georgios I. Kourtoglou ◽  
...  

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