scholarly journals COMPARATIVE EVALUATION OF AUTONOMIC REACTIVITY IN PATIENTS WITH CHRONIC HEART FAILURE AND TYPE 2 DIABETES MELLITUS WITH DIABETIC AUTONOMIC CARDIAC NEUROPATHY

2020 ◽  
Vol 74 (2) ◽  
pp. 130-134
Author(s):  
S.I. Krayushkin ◽  
◽  
S.S. Shalaeva ◽  
I.V. Ivakhnenko ◽  
E.V. Sadykova ◽  
...  

The dependence of heart rate variability in patients with chronic heart failure (CHF) and type 2 diabetes on the severity of diabetic autonomic cardiac neuropathy (DACN) is described. 60 patients with Functional Class II–III CHF and type 2 diabetes, 30 of them had signs of DACN of varying severity were examined. The temporary values of heart rate variability, spectral characteristics were estimated, as well as the ratio of sympathetic and parasympathetic influences. It was revealed that patients with CHF and type 2 diabetes complicated by DACN had significant disturbance of autonomic regulation and the prevalence of adverse types of autonomic reactivity. At the same time, the severity of autonomic disorders increased with the aggravation of autonomic dysfunction.

2021 ◽  
Vol 18 (3) ◽  
pp. 147916412110201
Author(s):  
Katarzyna Szmigielska ◽  
Anna Jegier

The study evaluated the influence of cardiac rehabilitation (CR) on heart rate variability (HRV) in men with coronary artery disease (CAD) with and without diabetes. Method: The study population included 141 male CAD patients prospectively and consecutively admitted to an outpatient comprehensive CR program. Twenty-seven patients with type-2 diabetes were compared with 114 males without diabetes. The participants performed a 45-min cycle ergometer interval training alternating 4-min workload and a 2-min active restitution three times a week for 8 weeks. The training intensity was adjusted so that the patient’s heart rate achieved the training heart rate calculated according to the Karvonen formula. At the baseline and after 8 weeks, all the patients underwent the HRV assessment. Results: HRV indices in the patients with diabetes were significantly lower as compared to the patients without diabetes in SDNN, TP, LF parameters, both at the baseline and after 8 weeks of CR. After 8 weeks of CR, a significant improvement of TP, SDNN, pNN50% and HF occurred in the patients without diabetes, whereas in the patients with diabetes only HF component improved significantly. Conclusions: As regards HRV indices, CR seems to be less effective in patients with CAD and type-2 diabetes.


2009 ◽  
Vol 6 (4) ◽  
pp. 276-282 ◽  
Author(s):  
Robert P. Nolan ◽  
Susan M. Barry-Bianchi ◽  
Adriana E. Mechetiuc ◽  
Maggie H. Chen

Cor et Vasa ◽  
2018 ◽  
Vol 60 (4) ◽  
pp. e335-e344 ◽  
Author(s):  
Rudolf Metelka ◽  
Lubica Cibičková ◽  
Jaromíra Gajdová ◽  
Ondřej Krystyník

2016 ◽  
Vol 73 (11) ◽  
pp. 1050-1055
Author(s):  
Viktor Stoickov ◽  
Marina Deljanin-Ilic ◽  
Dijana Stojanovic ◽  
Stevan Ilic ◽  
Sandra Saric ◽  
...  

Background/Aim. After myocardial infarction arrhythmic cardiac deaths are significantly more frequent compared to non-arrhythmic ones. The aim of the study was to investigate the influence of type 2 diabetes mellitus (T2DM) on the frequency and complexity of ventricular arrhythmias after myocardial infarction. Methods. The study included 293 patients, mean age 59.5 ? 9.21 years, who were at least six months after acute myocardial infarction with the sinus rhythm, without atrioventricular blocks and branch blocks. In the clinical group 95 (32.42%) patients were with T2DM, while 198 (67.57%) patients were without diabetes. All of the patients were subjected to the following procedures: standard ECG according to which the corrected QT dispersion (QTdc) was calculated, exercise stress test, and 24-hour holter monitoring according to which, the four parameters of time domain of heart rate variability (HRV) were analyzed: standard deviation of all normal RR intervals during 24 hours (SDNN), standard deviation of the averages of normal RR intervals in all five-minute segments during 24 hours (SDANN), the square root of the mean of the sum of the squares of differences between adjacent normal (RMS-SD), and percentage of consequtive RR intervals which differed for more than 50 ms during 24 hours (NN > 50 ms). Results. In patients after myocardial infarction, patients with T2DM had significantly higher percentage of frequent and complex ventricular arrhythmias compared to the patients without diabetes (p < 0.001). The patients with T2DM had significantly higher percentage of residual ischemia (p < 0.001), and arterial hypertension (p < 0.001), compared to patients without diabetes. The patients with T2DM had significantly lower values of HRV parameters: SDNN (p < 0.001); SDANN (p < 0.001); RMS-SD (p < 0.001), and NN > 50 ms (p < 0.001), and significantly higher values of QTdc (p < 0.001) compared to the patients without diabetes. Conclusion. The study showed that type 2 diabetes mellitus has significant influence on ventricular arrhythmias, HRV parameters and QT dispersion in patients after myocardial infarction.


Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 18-OR
Author(s):  
AMY S. SHAH ◽  
LAURE EL GHORMLI ◽  
SAMUEL GIDDING ◽  
KARA S. HUGHAN ◽  
LORRAINE E. KATZ ◽  
...  

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