Document Detail


Blood pressure and heart rate responses during 24-hour ambulatory monitoring and exercise in men with diabetes mellitus.
MedLine Citation:
PMID:  3976528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The heart rate (HR) variation of 25 normotensive and asymptomatic men, mean age 58 +/- 7 years, with diabetes mellitus (group I) was studied during deep respiration. Thirteen subjects (52%) had a variation of 10 beats/min or less, consistent with an autonomic neuropathy (AN) (group IA); 12 had variation in HR of more than 10 beats/min and were considered to have no neuropathy (group IB). The 24-hour ambulatory HR and systolic blood pressure (BP) values of group I were compared with those of 13 healthy men, mean age 48 +/- 8 years (group II). The mean of 5 maximal HR measurements during the 24-hour period was higher for group IA (106 +/- 11 beats/min) than for group IB (100 +/- 13 beats/min) or for group II (92 +/- 9 beats/min) (p less than 0.01). The mean of 5 maximal BP measurements was greater for group I (149 +/- 28 mm Hg) than for group II (128 +/- 13 mm Hg) (p less than 0.01), but no difference was observed between groups IA and IB. Maximal treadmill exercise was performed with 22 of the patients (11 with and 11 without AN), and no difference in HR was observed between the 2 groups during all stages of exercise or at maximal exertion. The increase in systolic BP and duration of exercise in these 2 groups were also similar. Seventeen of 25 diabetic men had peripheral neuropathy (PN). Of 13 patients with AN, 10 had PN; of 12 without AN, 7 had PN and 5 did not.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
S Rubler; D A Chu; C L Bruzzone
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  55     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-04-19     Completed Date:  1985-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  801-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Ambulatory Care
Autonomic Nervous System / physiopathology
Blood Pressure*
Diabetes Mellitus / physiopathology*
Diabetic Neuropathies / physiopathology
Exercise Test*
Heart Rate*
Humans
Male
Middle Aged
Monitoring, Physiologic*
Respiration
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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