Update of cardiovascular autonomic neuropathy in patients with diabetes

Autor: Andra-Elena Nica, Carmen Dobjanschi, Oana Andreea Parlițeanu, Emilia Rusu, Gabriela Radulian
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Romanian Medical Journal, Vol 68, Iss 2, Pp 162-168 (2021)
Druh dokumentu: article
ISSN: 1220-5478
2069-606X
DOI: 10.37897/RMJ.2021.2.6
Popis: The burden of diabetic cardiovascular autonomic neuropathy (CAN) is expected to increase due to the diabetes epidemic and its early and widespread appearance. CAN has a definite prognostic role for mortality and cardiovascular morbidity. Putative mechanisms for this are tachycardia, QT interval prolongation, orthostatic hypotension, reverse dipping, and impaired heart rate variability, while emerging mechanisms like inflammation support the pervasiveness of autonomic dysfunction. Efforts to overcome CAN under-diagnosis are: by promoting screening for symptoms and signs; by simplifying cardiovascular reflex tests.
Databáze: Directory of Open Access Journals