Abnormal baroreceptor-cardiac reflex sensitivity is not detected by conventional tests of autonomic function in patients with insulin-dependent diabetes mellitus

Clinical Science

Volumn 91, Issue 1, 1996, Pages 59-64

  Weston, Philip J ^a   James, Martin A ^b   Panerai, Ronnie ^a   McNally, Paul G ^a   Potter, John F ^b   Thurston, Herbert ^a   Swales, John D ^a  

^a LEICESTER ROYAL INFIRMARY   (United Kingdom)

^b GLENFIELD HOSPITAL   (United Kingdom)

Author keywords

Autonomic function; Baroreflex sensitivity; Insulin dependent diabetes mellitus; Sudden death

Indexed keywords

ADULT; ARTICLE; AUTONOMIC NERVOUS SYSTEM; AUTONOMIC NEUROPATHY; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HEART RATE; HUMAN; INSULIN DEPENDENT DIABETES MELLITUS; MALE; PRESSORECEPTOR REFLEX; PRIORITY JOURNAL; R WAVE; RISK FACTOR; SPECTROSCOPY; SUDDEN DEATH; SYSTOLIC BLOOD PRESSURE; VALSALVA MANEUVER;

EID: 0029950024     PISSN: 01435221     EISSN: None     Source Type: Journal    
DOI: 10.1042/cs0910059     Document Type: Article

References (33)

1. Ewing DJ, Martyn CN, Young RJ, Clarke BF. The value of cardiovascular autonomic function tests: a ten year experience in diabetes. Diabetes Care 1985; 8: 491-8.
2. Page MMcB, Watkins PJ. Cardiorespiratory arrest and diabetic autonomic neuropathy. Lancet 1978; ii: 14-16.
3. Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ. Power spectrum analysis of the heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science (Washington DC) 1981; 213: 220-2.
4. Pomeranz B, Macaulay RJB, Caudill MA, et al. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol 1985; 248: H151-3.
5. Pagani M, Lombardi F, Guzzetti S, et al. Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interactions in man and conscious dog. Circ Res 1986; 59: 178-93.
6. Cerutti S, Baselli G, Civardi S, et al. Spectral analysis of heart rate and arterial blood pressure variability signals for physiological and clinical purposes. Comput Cardiol 1987; 435-8.
7. Clayton RH, Bowman AJ, Ford GA, Murray A. Measurement of baroreflex gain from heart rate and blood pressure spectra data: a comparison of spectral estimation techniques. Physiol Meas 1995; 14: 131-9.
8. Pagani M, Somers V, Furlan R, et al. Changes in autonomic regulation induced by physical training in mild hypertension. Hypertension 1988; 12: 600-10.
9. Bristow A, Honour AJ, Pickering GW, Sleight P, Smith HS. Diminished baroreflex sensitivity in high blood pressure. Circulation 1969; 39: 48.
10. Molhoek GP, Wessling KH, Settels JJ. Evaluation of the Penaz servo-plethysmo-manometer for the continuous non-invasive measurement of finger blood pressure. Basic Res Cardiol 1984; 79: 598-609.
11. Parati G, Casadei R, Groppelli A, Di Rienzo M, Mancia G. Comparison of finger and intra-arterial blood pressure monitoring at rest and during laboratory testing. Hypertension 1989; 13: 647-55.
12. Palmero HA, Caeiro TF, Iosa DJ, Bas J. Baroreceptor reflex sensitivity derived from phase 4 of the Valsalva maneuver. Hypertension 1981; 3 (Suppl. II): 111134-7.
13. Smith SA, Stallard TJ, Salih NM, Littler WA. Can sinoaortic baroreceptor heart rate sensitivity be determined from phase IV of the Valsalva manoeuvre? Cardiovasc Res 1987; 21: 422-7.
14. Bennett T, Hosking DJ, Hampton JR. Baroreflex sensitivity and responses to the Valsalva manoeuvre in subjects with diabetes mellitus. J Neurol Neurosurg Psychiatry 1976; 39: 178-83.
15. Bernardi L, Ricordi L, Lazzari P, et al. Impaired circadian modulation of sympathovagal activity in diabetes. Circulation 1992; 84: 1443-52.
16. Lehman ED, Hopkins KD, Gosling RG. Aortic compliance measurements using doppler ultrasound: in vivo biochemical correlates. Ultrasound Med Biol 1993; 19: 683-710.
17. Chapleau MW. Are arterial pressures and deformation the sole determinants of baroreceptor activity? Importance of humoral and endothelial modulation in normal and disease states. Hypertension 1991; 19: 278-80.
18. Mcnally PG, Watt PAC, Rimmer T, Burden AC, Hearnshaw JR, Thurston H. Impaired contraction and endothelium-dependent relaxation in isolated resistance vessels from patients with insulin-dependent diabetes mellitus. Clin Sci 1994; 87: 31-6.
19. Omboni S, Parati G, Frattola A, et al. Spectral and sequence analysis of finger blood pressure variability: comparison with analysis of intra-arterial recordings. Hypertension 1993; 22: 26-33.
20. Farrel TG, Odemuyiwa O, Bashir Y. Prognostic value of baroreflex sensitivity testing after myocardial infarction. Br Heart J 1992; 67: 129-37.
21. Bigger JT, Fleiss JL, Steinmann RC, Rolintzky LM, Kleiger RE, Rottman JN. Frequency domain measures of heart period variability and mortality after myocardial infarction. Circulation 1992; 85: 164-71.
22. Billman G, Schwartz PJ, Stone HL. Baroreceptor reflex control of heart rate: a predictor of sudden cardiac death. Circulation 1982; 66: 874-80.
23. Ewing DJ, Boland O, Neilson JMM, Cho CG, Clarke BF. Autonomic neuropathy, QT lengthening and unexpected death in male diabetic patients. Diabetologia 1991; 34: 182-5.
24. Kjekshus J, Gilpin E, Cali G, Blackey AR, Henning H, Ross J. Diabetic patients and beta-blockers after myocardial infarction. Eur Heart J 1990; 11: 43-50.
25. Eckberg DL, Harkins SW, Fritsch JM, Musgrave GE, Gardner DF. Baroreflex control of plasma norepmephrine and heart period in healthy subjects and diabetic patients. J Clin Invest 1986; 78: 366-74.
26. Tattersall RB, Gill GV, Unexplained sudden death of type I diabetic patients. Diabetic Med 1991; 8: 49-58.
27. Bigger JT, Kleiger RE, Fleiss JL, Rolnitzky LM, Steinman RC, Miller JP. Multicenter Post-Infarction Research Group: Components of heart rate variability measured during healing of acute myocardial infarction. Am J Cardiol 1988; 61: 205-15.
28. O'Brien IAD, O'Hare P, Corrall RJM. Heart rate variability in healthy subjects: effects of age and the derivation of normal ranges for tests of autonomic function. Br Heart J 1986; 55: 348-54.
29. Masaoka S, Lev-Ran A, Hill LR, Vakil G, Hon EHG. Heart rate variability in diabetes: relationship to age and duration of disease. Diabetes Care 1985; 8: 64-8.
30. Ziegler D, Cicmir I, Wiefels K, Berger H, Gries FA. Peripheral and autonomic nerve function in long-term insulin dependent diabetes. Diabetes Res 1987; 4: 9-14.
31. Maser RE, Pfeifer MA, Dorman JS, Kuller LH, Becker DJ, Orchard TJ. Diabetic autonomic neuropathy and cardiovascular risk. Pittsburgh epidemiology of diabetes complications study III. Arch Intern Med 1990; 152: 1218-22.
32. 1c) to the risk of development and progression of retinopathy in the diabetes control and complications trial. Diabetes 1995; 44: 968-83.
33. DCCT Research Group. Effect of intensive therapy on the development and progression of diabetic nephropathy in the Diabetes Control and Complications Trial. Kidney Int 1995; 47: 1703-20.