[Diabetic cardiac autonomic neuropathy].
Cardiac autonomic neuropathy (CAN) is a common complication of diabetes mellitus, which is associated with a higher risk of morbidity and mortality. It can be detected by analyzing spontaneous (Holter) or provoked (Ewing's test battery) changes in heart rate and arterial blood pressure. Baroreflex gain is a specific index of great interest. Our laboratory has acquired a large experience in the assessment of CAN in diabetic patients. We use the Finapres, a device that allows continuous noninvasive monitoring of blood pressure and heart rate, and a special and discriminative active orthostatic manoeuvre, the "squatting" test (standing-squatting-standing).
Philips
J C
JC
Université de Liège, Chef de Service, Service de Diabétologie, Nutrition et Maladies Métaboliques, Département de Médecine, CHU Sart Tilman. jcphilips@ulg.ac.be
Marchand
M
M
Scheen
A J
AJ
D001342:Autonomic Nervous System Diseases / Q000175:diagnosis* / Q000209:etiology*; D017704:Baroreflex; D001794:Blood Pressure; D048909:Diabetes Complications / Q000503:physiopathology*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006331:Heart Diseases / Q000175:diagnosis* / Q000209:etiology*; D006339:Heart Rate; D006801:Humans