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July 5, 1975BMJ152 citationsOpen Access

Defective innervation of heart in diabetic autonomic neuropathy.

RLR H Lloyd‐MostynSherwood Forest Hospitals NHS Foundation TrustPWPeter WatkinsScientific Games (Australia)

Key Result

Diabetic autonomic neuropathy was associated with impaired parasympathetic function in all 13 patients and impaired sympathetic function in most, leading to spontaneous cardiac arrests in 3 patients.

Study Design

Type

Observational (n=13)

Structured PICO

P
Population
13 patients with diabetic autonomic neuropathy evaluated for heart rate responses to autonomic stimulation and inhibition.
E
Exposure
Autonomic stimulation and inhibition testing
O
Outcome
Heart rate responses to autonomic stimulation and inhibitionsurrogate

Diabetic autonomic neuropathy leads to impaired parasympathetic and sympathetic function, which may predispose patients to life-threatening cardiac dysrhythmias.

Abstract

Heart rate responses to autonomic stimulation and inhibition were studied in 13 diabetic autonomic neuropathy. Parasympathetic function was impaired in all patients and sympathetic function in most. One patient's heart appeared to be totally denervated. The consequences of cardiac denervation include tachycardia, a fixed heart rate, and a possible tendency to cardiac dysrhythmias, which caused spontaneous cardiac arrests in three patients.

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Cite This Study

Lloyd‐Mostyn et al. (1975) conducted an observational in Diabetic autonomic neuropathy (n=13). Diabetic autonomic neuropathy was evaluated on Heart rate responses to autonomic stimulation and inhibition. Diabetic autonomic neuropathy was associated with impaired parasympathetic function in all 13 patients and impaired sympathetic function in most, leading to spontaneous cardiac arrests in 3 patients.

synapsesocial.com/papers/6a46fcfbc4ea4d05b84dadbahttps://doi.org/10.1136/bmj.3.5974.15
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