The Prevalence of Cardiovascular Autonomic Neuropathy among Long Term TypeII Diabetes Mellitus

Abstract

Background: Worldwide, the prevalence of diabetes mellitus is considerably high. Cardiovascular autonomic neuropathy (CAN) is a severe complication of the advance stage of diabetes. More than 50% of diabetic patients diagnosed with peripheral neuropathy will have CAN, with clinical manifestations including tachycardia, severe orthostatic hypotension, syncope, and physical exercise intolerance.
Aime :The study aimed to evaluate the prevalence of cardiovascular autonomic neuropathy 1-in long term type ll diabetic patients
Materials and Methods: A case control study to sample of 88 patients with long term T2DM were collected from the department of medicine at Salah-Aldeen General Hospital, Tikrit-Iraq. Assessment of cardiovascular autonomic neuropathy by cardiovascular autonomic reflex test (CARTs).
Results: The results show cardiovascular autonomic neuropathy is common among the people with T2DM (84.1%). The longer duration of the disease and fibrinogen level becomes an independent factor of CAN incidences. Study revealed that the lymphocyte levels in uncontrolled T2DM patients with CAN are lower than without CAN.
The study conclude that cardiovascular autonomic neuropathy was common in long term T2DM.