Silent myocardial infarction and diabetic cardiovascular autonomic neuropathy
- 1 November 1986
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of internal medicine (1960)
- Vol. 146 (11) , 2229-2230
- https://doi.org/10.1001/archinte.146.11.2229
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<.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. (Arch Intern Med1986;146:2229-2230)This publication has 4 references indexed in Scilit:
- Assessment of Cardiovascular Effects in Diabetic Autonomic Neuropathy and Prognostic ImplicationsAnnals of Internal Medicine, 1980
- CARDIORESPIRATORY ARREST AND DIABETIC AUTONOMIC NEUROPATHYThe Lancet, 1978
- Autonomic neuropathy and painless myocardial infarction in diabetic patients. Histologic evidence of their relationshipDiabetes, 1977
- MORTALITY IN DIABETIC AUTONOMIC NEUROPATHYThe Lancet, 1976