Comparing Frequency of Cardiovascular Autonomic Neuropathy in Diabetic Cirrhotic with Non Diabetic Cirrhotic Patients

Cardiac autonomic neuropathy is most common secondary complication of diabetes mellitusis frequently undiagnosed and neglected even though it an independent predictor mortality morbidity. This phenomenon can be further exacerbated with co-morbidities like cirrhosis. High prevalence as well cirrhosis has been reported in Pakistan. However, proper knowledge information regarding incidence diabetesin induced cardiovascular lacking.So, its early detection timely management needed to prevent cirrhotic diabetic cardiomyopathy. Our objective determine compare the frequency non-diabetic patients. Methods:Cross sectional study was done on120 patients enrolled Mufti Mehmood Memorial Teaching Hospital, Dera Ismail Khan. Two groups, nondiabetic were taken.Those selected, who had controlled glycemic levels due medication, both groups a definite diagnosis liver. determined each patient using five standard tests. There after Bellavere,s scoring system applied assess extent cardiac dysfunction subject. Results: 33 males 27 females group 31 29 group. The mean age 57.48 ± 10.80 years whereas patients, 51.92 14.21 years. In group, 52 parasympathetic tests derangement 50 sympathetic derangement. 48 47 test After analysing results neuropathy, comparison between two reveal that there no significant difference groups. Conclusions:This shows develops subjects, found comparable diabetics non-diabetics, increases severity increase liver damage, suggesting damage contributes neurological deficit.