A cross sectional study on the assessment of cardiac autonomic dysfunctions among patients with type 2 diabetes mellitus
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 9, Issue 1
Abstract
Background: Neuropathy is a common complication of diabetes mellitus. It may affect both peripheral and autonomic nervous system. The objective of the present study was to investigate the prevalence of cardiac autonomic neuropathy in patients with Type 2 Diabetes Mellitus by using simple bedside tests and also to study its relationship with certain complications of diabetes. Materials and methods: The present study was done among 100 patients of Type 2 Diabetes Mellitus attending Medicine Outpatient department between October 2016 and October 2018. Results: Abnormal E: I ratio was noticed in 31 patients while the 30:15 ratio was found to be abnormal in 42 patients. Postural hypotension was observed in only 8% patients. QTc interval was prolonged in 42% of patients. The prevalence of cardiac autonomic neuropathy was 65%. The association between the presence of autonomic neuropathy and peripheral neuropathy, retinopathy and nephropathy were statistically significant. Conclusion: The prevalence of cardiac autonomic neuropathy was 65%. There was a significant statistical association between autonomic neuropathy and peripheral neuropathy, retinopathy and nephropathy.
Authors and Affiliations
Katta Subraya Prakash Rao, Mahesh Saladi
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