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[Heart rate and diabetes mellitus]
C Mounier-Vehier1, B Lequeuche, A Carre
1CHRU, Lille.
Annales De Cardiologie Et D'Angeiologie
|October 17, 1998
Summary
Diabetic neuropathy frequently impacts the heart, causing cardiac autonomic neuropathy (CAN). Early tachycardia in diabetes is common, indicating a poor prognosis and highlighting the need for monitoring.
Area of Science:
- Cardiology
- Neurology
- Endocrinology
Context:
- Diabetic neuropathy is a common complication of diabetes mellitus.
- Autonomic dysfunction, specifically cardiac autonomic neuropathy (CAN), is an early and frequent manifestation.
- CAN significantly impacts cardiovascular health in diabetic patients.
Purpose:
- To review the early and frequent clinical and subclinical manifestations of cardiac autonomic neuropathy (CAN) in diabetic patients.
- To discuss the diagnostic techniques used for studying CAN, including Ewing's test, Finapres, and Holter ECG.
- To highlight the prognostic value of tachycardia in diabetes.
Summary:
- Cardiac autonomic neuropathy (CAN) is an early and frequent complication of diabetes, affecting heart rate regulation.
- Clinical signs include persistent tachycardia, which is almost constant in diabetic individuals.
- Diagnostic methods like Ewing's test, Finapres, and Holter ECG aid in assessing CAN.
- Early tachycardia in diabetes is a significant indicator of prognosis.
Impact:
- Understanding CAN's manifestations and diagnostic tools can lead to earlier detection and intervention in diabetic patients.
- Recognizing tachycardia as a prognostic marker can improve patient management and outcomes.
- This review emphasizes the importance of monitoring cardiovascular autonomic function in diabetes care.