Prevalence and patterns of cardiac autonomic dysfunction in male patients with type 2 diabetes mellitus and chronic Charcot’s neuroarthropathy: a cross-sectional study from South India

Aims Our study aimed to look at the prevalence and patterns of cardiac autonomic neuropathy related dysfunction in male patients of type 2 diabetes mellitus with chronic Charcot’s foot. Methods A total of 74 male patients with type 2 diabetes mellitus were included in this study. Three groups of pat...

Full description

Saved in:
Bibliographic Details
Published in:International journal of diabetes in developing countries 2019-10, Vol.39 (4), p.633-640
Main Authors: Naik, Dukhabandhu, Singh, Haobam Surjitkumar, Gupta, Riddhi Das, Jebasingh, Felix, Paul, Thomas V., Thomas, Nihal
Format: Article
Language:English
Subjects:
Autonomic nervous system
Calcaneus
Cross-sectional studies
Diabetes
Diabetes mellitus (non-insulin dependent)
Dysautonomia
Family Medicine
Feet
Frequency
General Practice
Health Administration
Health risk assessment
Medicine
Medicine & Public Health
Original Article
Parasympathetic nervous system
Peripheral neuropathy
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Aims Our study aimed to look at the prevalence and patterns of cardiac autonomic neuropathy related dysfunction in male patients of type 2 diabetes mellitus with chronic Charcot’s foot. Methods A total of 74 male patients with type 2 diabetes mellitus were included in this study. Three groups of patients were selected: Group 1 included patients with chronic Charcot’s foot ( n  = 24), group 2 included patients with diabetic peripheral neuropathy without chronic Charcot’s foot ( n  = 22) and group 3 included patients without peripheral neuropathy or chronic Charcot’s foot ( n  = 28). The autonomic functions were tested using a personal computer-based cardiac autonomic neuropathy (CANS-504) analyser. Results The combined sympathetic (SNS) and parasympathetic autonomic function (PNS) abnormalities were detected in about 70.8% in the chronic Charcot’s group, 55.6% in the peripheral neuropathy group and 35.7% in the non-neuropathic group. In patients with chronic Charcot’s foot ( n  = 24), 29.2% had normal, 20.8% had borderline and 50% had abnormal PNS functions, while 4.2% had normal, 16.7% had borderline and 79.2% had abnormal SNS functions. The Meary’s angle (183.18 ± 73.83 vs 157.98 ± 14.11; p  
ISSN:0973-3930
1998-3832
DOI:10.1007/s13410-019-00722-5