Cardiac sympathetic imaging in the diagnosis of cardiac autonomic neuropathy in pre-diabetes

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Cardiac sympathetic imaging in the diagnosis of cardiac autonomic neuropathy in pre-diabetes.

Cardiac autonomic neuropathy is a common and frequently underdiagnosed complication of diabetes with significant associated cardiovascular morbidity and mortality. The reported prevalence of cardiac autonomic neuropathy, although extensively studied and reported in both type 1 and 2 diabetes, has been variable due to a variety of available testing methods as well as different diagnostic criteri...

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Cardiac Autonomic Neuropathy in Diabetes

CASE PRESENTATION — A 26year-old woman with “brittle” type 1 diabetes and severe CAN experienced sudden cardiac death. She had a 16-year history of poor diabetes control presenting with wide blood glucose fluctuations, recurrent episodes of severe hypoglycemia, and hypoglycemia unawareness. Over time she developed persistent orthostatic hypotension with daily falls in systolic blood pressure ra...

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The ECG Vertigo in Diabetes and Cardiac Autonomic Neuropathy

The importance of diabetes in the epidemiology of cardiovascular diseases cannot be overemphasized. About one third of acute myocardial infarction patients have diabetes, and its prevalence is steadily increasing. The decrease in cardiac mortality in people with diabetes is lagging behind that of the general population. Cardiovascular disease is a broad term which includes any condition causing...

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Cardiac autonomic neuropathy in patients with diabetes mellitus: current perspectives

Cardiac autonomic neuropathy (CAN) is a common and often-underdiagnosed complication of diabetes mellitus (DM). CAN is associated with increased mortality, cardiovascular disease, chronic kidney disease, and morbidity in patients with DM, but despite these significant consequences CAN often remains undiagnosed for a prolonged period. This is commonly due to the disease being asymptomatic until ...

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Cardiac autonomic neuropathy in patients with diabetes mellitus.

Cardiac autonomic neuropathy (CAN) is an often overlooked and common complication of diabetes mellitus. CAN is associated with increased cardiovascular morbidity and mortality. The pathogenesis of CAN is complex and involves a cascade of pathways activated by hyperglycaemia resulting in neuronal ischaemia and cellular death. In addition, autoimmune and genetic factors are involved in the develo...

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ژورنال

عنوان ژورنال: Journal of Nuclear Cardiology

سال: 2015

ISSN: 1071-3581,1532-6551

DOI: 10.1007/s12350-015-0082-y