Assessment of Prevalence of Cardiac Autonomic Dysfunction by Various Cardiovascular Autonomic Function Tests Using Ewing’s And Bellavarae’s Criteria
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 7
Abstract
Cardiac autonomic dysfunction is an independent risk factor for cardiovascular and cerebrovascular diseases that accelerate the mortality rate in individuals. However, complicated diagnostic tests with various criteria and a lack of relevant studies make Cardiac autonomic neuropathy (CAN) become one of the diabetic complications that is most likely to be neglected. So we undertook this study for assessment of cardiac autonomic dysfunction in 125 healthy subjects (age-20-70 years) by 3 parasympathetic tests including heart rate response to deep breathing, standing and valsalva maneuver; and 2 sympathetic tests consisting of blood pressure response to standing and sustained hand grip (SHG).Cardiac autonomic dysfunction in subject was evaluated by categorizing subjects using various scoring systems such as Ewing’s criteria and Bellavere’s criteria. In this study according to Ewing’s and Bellavarae criteria severity of CAN increases with age & severity of CAN is more in male subjects as compare to female subjects. The present study thus can be an effective tool for screening of the cardiovascular autonomic dysfunction & its complication in subjects, thereby decreasing the morbidity and improving the quality of treatment.
Authors and Affiliations
Dr. Kirti Goyal, Dr. Prahlad Kalwan
Keywords
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