Cardiac autonomic neuropathy in nonobese young adults with type 1 diabetes
Annals of Pediatric Endocrinology & Metabolism
; : 180-186, 2019.
Article
en En
| WPRIM
| ID: wpr-762614
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The aim of this study was to evaluate the prevalence and risk factors for cardiac autonomic neuropathy (CAN) in nonobese nonobese young type 1 diabetes mellitus (T1DM) patients without micro- or macrovascular complications. METHODS: CAN was assessed in 95 patients with T1DM, aged 18–29 years, using standard cardiovascular reflex tests – heart rate response to deep breathing, standing, and the Valsalva maneuver and blood pressure response to standing. Furthermore, power spectral analyses of overall heart rate variability (HRV), standard deviation of NN intervals (SDNN), and total power (TP) were tested with DiCAN. CAN was defined as abnormal results for at least 1 of the 4 cardiovascular reflex tests. RESULTS: The prevalence of CAN was 12.6%. The frequency of one and 2 abnormal reflex tests was 10.5% and 2.1%, respectively. No significant differences were observed in age, sex, mean hemoglobin A(1c) (HbA(1c)) level, and duration of diabetes with respect to presence of CAN. Patients with CAN exhibited lower overall HRV parameters (SDNN and TP) compared with those without CAN even though there was no statistical significance. In multivariable analyses, higher mean HbA(1c) level was significantly associated with lower overall HRV (β=-44.42, P=0.002 for SDNN and β=-2.82, P<0.001 for TP). CONCLUSION: CAN can be detected in 12.6% of young adult T1DM patients even without other micro- or macrovascular complications. Glycemic control is the main determinant to maintain overall HRV and prevent CAN.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Reflejo
/
Respiración
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Enfermedades del Sistema Nervioso Autónomo
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Presión Sanguínea
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Reflejo Anormal
/
Maniobra de Valsalva
/
Prevalencia
/
Factores de Riesgo
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Diabetes Mellitus Tipo 1
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Frecuencia Cardíaca
Tipo de estudio:
Etiology_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Annals of Pediatric Endocrinology & Metabolism
Año:
2019
Tipo del documento:
Article