@article{PauliHartlMarquardtetal.1991, author = {Pauli, Paul and Hartl, Lydia and Marquardt, Christian and Stalmann, Henrica and Strian, Friedrich}, title = {Heartbeat and arrhythmia perception in diabetic autonomic neuropathy}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-73599}, year = {1991}, abstract = {A comparative study of diabetics with autonomic neuropathy (N = 13) as against nonneuropathic diabetics (N = 16) and healthy control persons (N = 20) was carried out with respect 10 heart rate both at rest and under stress, frequency of cardiac arrhythmias in a 24-h ECG and accuracy of heartbeat and arrhythmia perception. In the subjects with diabetic autonomic neuropathy, the spontaneaus variability and stress-induced reactivity of the heart rate as weil as the number of tachycardic episodes were reduced, whereas the frequency of ventricular extrasystoles was somewhat increased. Impaired heartbeat perception and a complete Ioss of perception of arrhythmias as a consequence of neuropathic deafferentation could be demonstrated. Cardiac perception disordersalso playavital roJe in other clinical problems, e.g. silent myocardial infarction and Iack of awareness of hypoglycaemia in diabetes mellitus.}, subject = {Psychologie}, language = {en} }