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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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Autor principal: Memon, Azhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Qassim Uninversity 2017
Materias:
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
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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.
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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
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