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The provided text is a cover page for a 1997 review on conventional cardiovascular laboratory testing and new developments in diabetic autonomic neuropathy, containing no clinical data.
This review highlights the utility of conventional cardiovascular reflex tests and emerging techniques like spectral analysis for assessing diabetic autonomic neuropathy.
1997 review offers no clinical data; leaves open whether conventional tests remain standard for diabetic autonomic neuropathy today.
Cardiovascular reflex tests remain the investigational cornerstone for the assessment of patients in the clinical autonomic laboratory. Three cardiovagal tests have been found suitable for testing: the instantaneous heart rate responses induced by deep breathing, Valsalva's manoeuvre and standing up. Suitable laboratory indices of adrenergic function include continuous monitoring of blood pressure responses induced by Valsalva's manoeuvre and standing up, which is now possible through tracking of beat-to-beat blood pressure changes at the finger. Spectral analysis of heart rate and blood pressure and pulse wave analysis for stroke volume changes are promising approaches to evaluate abnormalities in arterial baroreflex regulatory mechanisms in diabetic patients.
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Wieling et al. (1997) conducted a review in Diabetic autonomic neuropathy. Cardiovascular laboratory testing was evaluated. The provided text is a cover page for a 1997 review on conventional cardiovascular laboratory testing and new developments in diabetic autonomic neuropathy, containing no clinical data.
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