Prevalence of Cardiac Autonomic Neuropathy in Type 2 Diabetes Mellitus and its association with other microangiopathies

Dr Monica Razdan; Dr Bhupendra Chouhan; Dr Ankur Gupta; Dr Shahid Abbas

Volume : VIII, Issue : III, March - 2019

Prevalence of Cardiac Autonomic Neuropathy in Type 2 Diabetes Mellitus and its association with other microangiopathies

Dr Monica Razdan, Dr Bhupendra Chouhan, Dr Ankur Gupta, Dr Shahid Abbas

Abstract :

Background: Cardiac autonomic dysfunction is the most overlooked complication of Diabetes mellitus leading to increase mortality, arrhythmias and sudden cardiac death. Retinopathy is the common microvascular complication of Diabetes along with Neuropathy and Nephropathy, is the most significant risk factor in predicting the presence of cardiac autonomic dysfunction in patients with type2 diabetes. Diabetic Retinopathy is a strong predictor for CAN. Methods: Necessary data was collected from the medical archives of 100 diabetic patients registered in a tertiary care hospital of Madhya Pradesh. Results: The mean age of the patients was 52.48�12 years. Out of 100 diabetic patients 57 were female and 43 were male. Cardiac autonomic neuropathy (CAN) was found in 37 % of patients as per Ewings Criteria, and 26 % of them had retinopathy. The mean urine microalbuminuria was significantly higher in CAN positive patients as compare to negative patients. CAN positivity was strongly associated with duration of disease and also with poor glycemic control. Conclusions: Prevalence of cardiac autonomic neuropathy is 37% in our study, which was evaluated by cardiac autonomic function tests, and is positively correlated with duration and other microvascular complication including retinopathy, of type2 Diabetes Mellitus. Early detection of CAN is imperative for successful intervention as it is most over looked complication which has got significant impact on quality and survival of life in people with Diabetes.