手握测试 - 糖尿病自主神经病变的历史测试还是其他东西的标记?
Anna Erzsébet Körei1, Zsuzsanna Putz1, Orsolya Erzsébet Vági1
1Department of Internal Medicine and Oncology, Semmelweis University, Budapest, Hungary.
Journal of diabetes and its complications
|January 19, 2024
概括
心血管自主神经病变 (CAN) 诊断在糖尿病中至关重要. 该审查强调,在CAN评估中不再建议对同度手握测试来评估交感功能障碍.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 神经学 神经学
背景情况:
- 心血管自主神经病变 (CAN) 是一种常见的糖尿病并发症,增加了患者的发病率和死亡率.
- 早期和准确的CAN诊断对于管理糖尿病患者至关重要.
- 标准心血管反射测试 (CARTs) 是对CAN评估的既定方法.
研究的目的:
- 审查CARTs对CAN评估的历史背景.
- 介绍CAN评估中对同度手握测试 (IHT) 的最新证据.
- 讨论IHT在评估糖尿病患者中的不断变化的作用.
主要方法:
- 对CART的历史数据和已建立的协议进行审查.
- 对最近的研究和关于IHT疗效的临床证据的分析.
- 与糖尿病和非糖尿病人群中IHT相关的发现的综合.
主要成果:
- 对持续的握手运动的透气血压反应不再是建议的CAN临床测试.
- 越来越多的证据表明,IHT应该从糖尿病患者的标准CAN评估协议中删除.
- IHT结果与高血压参数和目标器官损伤相关,这表明心血管风险的潜在查作用.
结论:
- 异度手握测试不建议用于评估糖尿病CAN患者的交感功能障碍.
- IHT可以作为一种查工具,用于识别高心血管风险的高血压患者.
- 需要进一步的研究,以充分定义IHT在心血管风险分层中的作用.
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