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[Advanced autonomic cardiovascular denervation of diabetic etiology. Presentation of a case]
Abstract:
"Functional" total cardiac denervation due to diabetic autonomic neuropathy, is relatively rare. Sympathetic and parasympathetic fibers differ in the frequency with which they are damaged, with preference of parasympathetic abnormality. We report a diabetic patient who presented cardiac denervation with fixed heart rate at rest (95 beats for minute), severe orthostatic hypotension and cardiovascular abnormalities such as absence of reactions to physiological and pharmacological stimuli, sympathetic and parasympathetic. To the best of our knowledge our patient is the third such case in the literature.