Is cardiovascular autonomic neuropathy associated with a higher incidence of silent myocardial infarction in diabetic adults with symptomatic peripheral neuropathy?
Diabetic patients with cardiovascular autonomic neuropathy have a significantly higher incidence of silent myocardial infarction, which may contribute to sudden death in this population.
• Seventy-three consecutive diabetic adults with symptomatic peripheral neuropathy were evaluated for the presence of cardiovascular autonomic neuropathy and electrocardiographic evidence of myocardial infarction (MI). Twenty-five (34.2%) patients demonstrated cardiovascular autonomic neuropathy, and ten (13.7%) patients had electrocardiographic evidence of MI. Of the ten MI identified, seven were asymptomatic (silent) by history. The incidence of silent MI was significantly higher (PArch Intern Med1986;146:2229-2230)
E. Niakan (Sat,) studied this question.
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