Signal-averaged electrocardiogram in patients with insulin-dependent (Type 1) diabetes mellitus with and without diabetic neuropathy

Diabetic Medicine

Volumn 14, Issue 5, 1997, Pages 364-369

  Grossmann, G ^a,b   Schwentikowski, M ^a   Keck, F S ^a   Hoher M ^a   Steinbach, G ^a   Osterhues, H ^a   Hombach, V ^a  

^a UNIVERSITY HOSPITAL ULM   (Germany)

^b Division of Cardiology   (Germany)

Author keywords

corrected QT interval; diabetic neuropathy; insulin dependent diabetes mellitus; signal averaged electrocardiogram; ventricular late potentials

Indexed keywords

ADULT; ARTICLE; CONTROLLED STUDY; DIABETIC NEUROPATHY; ELECTROCARDIOGRAM; FEMALE; HEART MUSCLE POTENTIAL; HUMAN; INSULIN DEPENDENT DIABETES MELLITUS; MAJOR CLINICAL STUDY; MALE; QT INTERVAL; SIGNAL AVERAGED ELECTROCARDIOGRAPHY; SUDDEN DEATH;

ADOLESCENT; ADULT; AGED; BLOOD PRESSURE; BODY MASS INDEX; BODY SURFACE AREA; DIABETES MELLITUS, TYPE 1; DIABETIC NEPHROPATHIES; DIABETIC NEUROPATHIES; DIABETIC RETINOPATHY; ELECTROCARDIOGRAPHY; FEMALE; HEART RATE; HEMOGLOBIN A, GLYCOSYLATED; HUMANS; MALE; MIDDLE AGED; VENTRICULAR FUNCTION;

EID: 0030949177     PISSN: 07423071     EISSN: None     Source Type: Journal    
DOI: 10.1002/(SICI)1096-9136(199705)14:5<364::AID-DIA359>3.0.CO;2-S     Document Type: Article

References (37)

1. Ewing DJ, Campbell IW, Clarke BF. Mortality in diabetic autonomic neuropathy. Lancet, March 20, 1976: 601-603.
2. Page MMcB, Watkins PJ. Cardiorespiratory arrest and diabetic autonomic neuropathy. Lancet, January 7, 1978: 14-16.
3. Kahn JK, Sisson JC, Vinik AI. QT interval prolongation and sudden cardiac death in diabetic autonomic neuropathy. J Clin Endocrinol Metab 1987; 64: 751-754.
4. Ewing DJ, Boland O, Neilson JMM, Cho CG, Clarke BF. Autonomic neuropathy, QT interval lengthening, and unexpected deaths in male diabetic patients. Diabetologia 1991; 34: 182-185.
5. Bellavere F, Ferri M, Guarini L, Bax G, Piccoli A, Cardone C, et al. Prolonged QT period in diabetic autonomic neuropathy: a possible role in sudden cardiac death? Br Heart J 1988; 59: 379-383.
6. Breithardt G, Cain M, El-Sherif N, Flowers NC, Hombach V, Janse M, et al. Standards for analysis of ventricular late potentials using high-resolution or signal-averaged electrocardiography: a statement by a Task Force Committee of the European Society of Cardiology, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol 1991; 17: 999-1006.
7. Simson MB. Noninvasive identification of patients at high risk for sudden cardiac death. Signal-averaged electrocardiography. Circulation 1992; 85 (suppl 1): 1145-1151.
8. Tobe TJM, DeLangen CDJ, Bink-Boelkens MThE, Mook PH, Viersma J-W, Lie KI, et al. Late potentials in a bradycardia-dependent long QT syndrome associated with sudden death during sleep. J Am Coll Cardiol 1992; 19: 541-549.
9. Rhoden WE, Bennett DH. Spectrum of QT changes and late potentials in a large family with the Romano Ward syndrome (Abstract). Eur Heart 1992; J13 (abstract suppl): 344.
10. Eggeling T, Hopp HW, Schickendantz S, Osterspey A, Mennicken Y, Hombach V, et al. Diastolische Mikropotentiale im hochverstärkten Oberflächen-EKG bei QT-Syndrom. Z Kardiol 1986; 75: 410-416.
11. Napolitano C, Bonazzi O, Diehl L, Locati EH, Priori SG, Schwartz PJ. Dispersion of ventricular activation in the long QT syndrome. A role for reentry? (Abstract). Circulation 1992; 86 (suppl 1): 1-391.
12. Schwartz PJ. Idiopathic long QT syndrome: progress and questions. Am Heart J 1985; 109: 399-411.
13. Moss AJ, Robinson J. Clinical features of the idiopathic long QT syndrome. Circulation 1992; 85 (suppl 1): 1140-1144.
14. Jackman WM, Friday KJ, Anderson JL, Aliot EM, Clark M, Lazzara R. The long QT syndromes: a critical review, new clinical observations and a unifying hypothesis. Prog Cardiovasc Diseases 1988; 31: 115-172.
15. Morguet A, Springer HJ. Microcomputer-based measurement of beat-to-beat intervals and analysis of heart rate variability. Med Progr Technol 1981; 8: 77-82.
16. Sundkvist G, Almer L-O, Lilja B. Respiratory influence on heart rate in diabetes mellitus. Br Med J 1979; i: 924-925.
17. Ewing DJ, Clarke BF. Autonomic neuropathy: its diagnosis and prognosis. In: Watkins PJ, ed. Long-term Complications of Diabetes. Clinics in Endocrinology and Metabolism, vol. 15, no. 4. London, Philadelphia, Toronto: W.B. Saunders, 1986: 855-888.
18. Moss AJ. Measurement of the QT interval and the risk associated with QT interval prolongation: a review. Am J Cardiol 1993; 72: 23B-25B.
19. Simson MB. Use of signals in the terminal QRS complex to identify patients with ventricular tachycardia after myocardial infarction. Circulation 1981; 64: 235-242.
20. Moss AJ, Zareba W, Robinson JL. The long QT syndrome. Cardiol Rev 1995; 3: 79-85.
21. Coto H, Maldonado C, Pulakurthy P, Flowers NC. Late potentials in normal subjects and in patients with ventricular tachycardia unrelated to myocardial infarction. Am J Cardiol 1985; 55: 384-390.
22. Denes P, Santarelli P, Hauser RC, Uretz EF. Quantitative analysis of the high-frequency components of the terminal portion of the body surface QRS in normal subjects and patients with ventricular tachycardia. Circulation 1983; 67: 1129-1138.
23. Buerschaper M, Gonska BD, Bethge KP. Prävalenz von Spätpotentialen im Hochverstärkungs-Elektrokardiogramm und von Rhythmusstörungen im Langzeit-EKG bei Gesunden. Z Kardiol 1991; 80: 516-522.
24. Celiker A, Akinci A, Özin B. The signal-averaged electrocardiogram in diabetic children. Int J Cardiol 1994; 44: 271-274.
25. Robillon JF, Sadoul JL, Jullien D, Morand P, Freychet P. Abnormalities suggestive of cardiomyopathy in patients with type 2 diabetes of relatively short duration. Diabete Metab 1994; 20: 473-480.
26. Yang Q, Kiyoshige K, Fujimoto T, Katayama M, Fujino K, Saito K, et al. Signal-averaged electrocardiogram in patients with diabetes mellitus. Jpn Heart J 1990; 31: 25-33.
27. Buckingham TA, Thessen CC, Stevens LL, Redd RM, Kennedy HL. Effect of conduction defects on the signal-averaged electrocardiographic determination of late potentials. Am J Cardiol 1988; 61: 1265-1271.
28. Paillole C, Ruiz J, Juliard JM, Leblanc H, Gourgon R, Passa Ph. Detection of coronary artery disease in diabetic patients. Diabetologia 1995; 38: 726-731.
29. Barrett-Connor E, Orchard T. Insulin dependent diabetes mellitus and ischaemic heart disease. Diabetes Care 1985; 8: 65-70.
30. Jacoby RM, Nesto RW. Acute myocardial infarction in the diabetic patient: pathophysiology, clinical course and prognosis. J Am Coll Cardiol 1992; 20: 736-744.
31. Gardner PI, Ursell PC, Fenoglio JJ, Wit AL. Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts. Circulation 1985; 72: 596-611.
32. Vassallo JA, Cassidy DM, Kindwall KE, Marchlinski FE, Josephson ME. Nonuniform recovery of excitability in the left ventricle. Circulation 1988; 78: 1365-1372.
33. van Hoeven KH, Factor SM. A comparison of the pathological spectrum of hypertensive, diabetic, and hypertensive-diabetic heart disease. Circulation 1990; 82: 848-855.
34. Regan TJ, Ettinger PO, Kahn MI, Jesrani MU, Lyons MM, Oldewurtel HA, et al. Altered myocardial function and metabolism in chronic diabetes mellitus without ischemia in dogs. Circ Res 1974; 35: 222-237.
35. Schwarzmaier H-J, Karbenn U, Borggrefe M, Ostermeyer J, Breithardt G. Relation between ventricular late encocardial activity during intraoperative endocardial mapping and low-amplitude signals within the terminal QRS complex on the signal-averaged surface electrocardiogram. Am J Cardiol 1990; 66: 308-314.
36. Surawicz B. Bradycardia-dependent long QT syndrome, sudden death and late potentials. J Am Coll Cardiol 1992; 19: 550-551.
37. Nogami A, Iesaka Y, Akiyama J, Takahashi A, Nitta J, Chun Y, et al. Combined use of time and frequency domain variables in signal-averaged ECG as a predictor of inducible sustained monomorphic ventricular tachycardia in myocardial infarction. Circulation 1992; 86: 780-789.