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Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system
OBJECTIVE: Determine the frequency of cardiac autonomic neuropathy (CAN) in type 2 diabetics using Bellavere’s score system. SUBJECTS AND METHODS: The present cross-sectional study was conducted at the Department of Medicine, Isra University Hospital Hyderabad from March to November 2011. Sixty volu...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Qassim Uninversity
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5669507/ https://www.ncbi.nlm.nih.gov/pubmed/29114191 |
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author | Memon, Azhar |
author_facet | Memon, Azhar |
author_sort | Memon, Azhar |
collection | PubMed |
description | OBJECTIVE: Determine the frequency of cardiac autonomic neuropathy (CAN) in type 2 diabetics using Bellavere’s score system. SUBJECTS AND METHODS: The present cross-sectional study was conducted at the Department of Medicine, Isra University Hospital Hyderabad from March to November 2011. Sixty voluntary participants of type 2 diabetes mellitus (DM) were selected through non-probability purposive sampling. Cardiac autonomic nerve function was assessed using Bellavere’s score system. The data were analyzed on the Statistix version 10.0 (USA) using Student’s t-test, Chi-square test, one-way ANOVA, and Tukey-Cramer test (P ≤ 0.05). RESULTS: Of 60 diabetics, CAN was observed in 29 (41.4%). Abnormal heart rate variability (HRV), valsalva ratio, 30-15(th) ratio, blood pressure (BP) response to standing, and handgrip was noted in 43 (61.4%), 27 (38.5%), 17 (24.2%), 5 (7.14%), and 18 (25.7%), respectively. The hemoglobin A1c was negative correlated with HRV, valsalva ratio, 30-15(th) ratio, and BP response to sustained handgrip; and positively correlated with BP response to standing, systolic BP, and diastolic BP. Duration of DM was not correlated with cardiac autonomic nerve function tests. CONCLUSION: The CAN was observed in 29 (41.4%) using Bellavere’s score system. The CAN score may be used as feasible and reproducible bedside clinical test in diabetic patients. |
format | Online Article Text |
id | pubmed-5669507 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Qassim Uninversity |
record_format | MEDLINE/PubMed |
spelling | pubmed-56695072017-11-07 Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system Memon, Azhar Int J Health Sci (Qassim) Original Article OBJECTIVE: Determine the frequency of cardiac autonomic neuropathy (CAN) in type 2 diabetics using Bellavere’s score system. SUBJECTS AND METHODS: The present cross-sectional study was conducted at the Department of Medicine, Isra University Hospital Hyderabad from March to November 2011. Sixty voluntary participants of type 2 diabetes mellitus (DM) were selected through non-probability purposive sampling. Cardiac autonomic nerve function was assessed using Bellavere’s score system. The data were analyzed on the Statistix version 10.0 (USA) using Student’s t-test, Chi-square test, one-way ANOVA, and Tukey-Cramer test (P ≤ 0.05). RESULTS: Of 60 diabetics, CAN was observed in 29 (41.4%). Abnormal heart rate variability (HRV), valsalva ratio, 30-15(th) ratio, blood pressure (BP) response to standing, and handgrip was noted in 43 (61.4%), 27 (38.5%), 17 (24.2%), 5 (7.14%), and 18 (25.7%), respectively. The hemoglobin A1c was negative correlated with HRV, valsalva ratio, 30-15(th) ratio, and BP response to sustained handgrip; and positively correlated with BP response to standing, systolic BP, and diastolic BP. Duration of DM was not correlated with cardiac autonomic nerve function tests. CONCLUSION: The CAN was observed in 29 (41.4%) using Bellavere’s score system. The CAN score may be used as feasible and reproducible bedside clinical test in diabetic patients. Qassim Uninversity 2017 /pmc/articles/PMC5669507/ /pubmed/29114191 Text en Copyright: © International Journal of Health Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Memon, Azhar Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system |
title | Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system |
title_full | Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system |
title_fullStr | Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system |
title_full_unstemmed | Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system |
title_short | Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere’s score system |
title_sort | cardiac autonomic neuropathy in type 2 diabetes mellitus using bellavere’s score system |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5669507/ https://www.ncbi.nlm.nih.gov/pubmed/29114191 |
work_keys_str_mv | AT memonazhar cardiacautonomicneuropathyintype2diabetesmellitususingbellaveresscoresystem |