Literature DB >> 3778054

Silent myocardial infarction and diabetic cardiovascular autonomic neuropathy.

E Niakan, Y Harati, L A Rolak, J P Comstock, R Rokey.   

Abstract

Seventy-three consecutive diabetic adults with symptomatic peripheral neuropathy were evaluated for the presence of cardiovascular autonomic neuropathy and electrocardiographic evidence of myocardial infarction (MI). Twenty-five (34.2%) patients demonstrated cardiovascular autonomic neuropathy, and ten (13.7%) patients had electrocardiographic evidence of MI. Of the ten MI identified, seven were asymptomatic (silent) by history. The incidence of silent MI was significantly higher (P less than .04) in patients with cardiovascular autonomic neuropathy. It is postulated that sudden death in diabetic patients with cardiovascular autonomic neuropathy may be due to silent MI.

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Year:  1986        PMID: 3778054

Source DB:  PubMed          Journal:  Arch Intern Med        ISSN: 0003-9926


  22 in total

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