Heartbeat and arrhythmia perception in diabetic autonomic neuropathy
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- 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 ventricularA 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.…
Autor(en): | Paul Pauli, Lydia Hartl, Christian Marquardt, Henrica Stalmann, Friedrich Strian |
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URN: | urn:nbn:de:bvb:20-opus-73599 |
Dokumentart: | Artikel / Aufsatz in einer Zeitschrift |
Institute der Universität: | Philosophische Fakultät III (bis Sept. 2007) / Institut für Psychologie (bis Sept. 2007) |
Sprache der Veröffentlichung: | Englisch |
Erscheinungsjahr: | 1991 |
Originalveröffentlichung / Quelle: | In: Psychological Medicine (1991) 21, 413-421. |
Allgemeine fachliche Zuordnung (DDC-Klassifikation): | 1 Philosophie und Psychologie / 15 Psychologie / 150 Psychologie |
Normierte Schlagworte (GND): | Psychologie |
Datum der Freischaltung: | 05.11.2012 |
Lizenz (Deutsch): | Deutsches Urheberrecht |