Association between cardiac autonomic neuropathy and hypertension and its potential influence on diabetic complications

Diabet. Med. 27, 804–811 (2010) Aims  To examine the association between cardiac autonomic neuropathy and hypertension and the role of this association in diabetic complications. Methods  We included 310 patients, 138 with Type 1 and 172 with Type 2 diabetes, 62 of them with hypertension. Cardiac au...

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Bibliographic Details
Published in:Diabetic medicine 2010-07, Vol.27 (7), p.804-811
Main Authors: Ayad, F., Belhadj, M., Pariés, J., Attali, J. R., Valensi, P.
Format: Article
Language:English
Subjects:
Adult
Algeria - epidemiology
Autonomic Nervous System - physiology
Biological and medical sciences
Blood Pressure - physiology
Body Mass Index
cardiac autonomic neuropathy
diabetes
Diabetes Complications
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - epidemiology
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - physiopathology
Diabetes. Impaired glucose tolerance
Diabetic Cardiomyopathies - complications
Diabetic Cardiomyopathies - epidemiology
Diabetic Neuropathies - epidemiology
Diabetic Neuropathies - physiopathology
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Heart Rate - physiology
Humans
hypertension
Hypertension - epidemiology
Hypertension - physiopathology
macrovascular complications
Male
Medical sciences
microangiopathy
Odds Ratio
Risk Factors
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
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Summary:Diabet. Med. 27, 804–811 (2010) Aims  To examine the association between cardiac autonomic neuropathy and hypertension and the role of this association in diabetic complications. Methods  We included 310 patients, 138 with Type 1 and 172 with Type 2 diabetes, 62 of them with hypertension. Cardiac autonomic neuropathy was assessed by analysing heart rate variations during three standard tests (deep breathing, lying to standing and Valsalva) and looking for postural hypotension. Results  Cardiac autonomic neuropathy was present in 123 patients and 39 also had hypertension. The prevalence of a cardiac autonomic neuropathy/hypertension association was higher in Type 2 patients (P 
ISSN:0742-3071
1464-5491
DOI:10.1111/j.1464-5491.2010.03027.x