Key result
Cardiovascular autonomic neuropathy was associated with a significantly higher incidence of silent myocardial infarction in diabetic adults with symptomatic peripheral neuropathy (P<0.04).
Why the study?
Is cardiovascular autonomic neuropathy associated with a higher incidence of silent myocardial infarction in diabetic adults with symptomatic peripheral neuropathy?
Population
73 consecutive diabetic adults with symptomatic peripheral neuropathy
Design
Cross-sectional
Authors
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May warrant ECG vigilance in this subgroup; hypothesis-generating and requires prospective validation before practice change.
Cross-Sectional (n=73)
Is cardiovascular autonomic neuropathy associated with a higher incidence of silent myocardial infarction in diabetic adults with symptomatic peripheral neuropathy?
p-value: p=<0.04
Diabetic patients with cardiovascular autonomic neuropathy have a significantly higher incidence of silent myocardial infarction, which may contribute to sudden cardiac death in this population.
Enayat Niakan (1986) conducted a cross-sectional in Diabetic adults with symptomatic peripheral neuropathy (n=73). Cardiovascular autonomic neuropathy vs. Absence of cardiovascular autonomic neuropathy was evaluated on Incidence of silent myocardial infarction (p=<0.04). Cardiovascular autonomic neuropathy was associated with a significantly higher incidence of silent myocardial infarction in diabetic adults with symptomatic peripheral neuropathy (P<0.04).
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