Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
CARDIOVASCULAR DYSAUTONOMIA OF PATIENTS WITH END-STAGE RENAL-DISEASE AND TYPE-I OR TYPE-II DIABETES
Autore:
HATHAWAY DK; CASHION AK; WICKS MN; MILSTEAD EJ; GABER AO;
Indirizzi:
UNIV TENNESSEE,COLL NURSING,956 COURT AVE,SUITE A210 MEMPHIS TN 38163 UNIV TENNESSEE,COLL MED MEMPHIS TN 38163 UNIV TENNESSEE,COLL GRAD HLTH SCI MEMPHIS TN 38163
Titolo Testata:
Nursing research
fascicolo: 3, volume: 47, anno: 1998,
pagine: 171 - 179
SICI:
0029-6562(1998)47:3<171:CDOPWE>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEART-RATE-VARIABILITY; ACUTE MYOCARDIAL-INFARCTION; CARDIAC PARASYMPATHETIC ACTIVITY; KIDNEY-ALONE TRANSPLANTATION; AUTONOMIC FUNCTION-TESTS; SPECTRAL-ANALYSIS; PANCREAS-KIDNEY; BLOOD-PRESSURE; STANDARD-TESTS; IDDM PATIENTS;
Keywords:
CARDIAC AUTONOMIC FUNCTION; DIABETES; RENAL FAILURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Citazioni:
39
Recensione:
Indirizzi per estratti:
Citazione:
D.K. Hathaway et al., "CARDIOVASCULAR DYSAUTONOMIA OF PATIENTS WITH END-STAGE RENAL-DISEASE AND TYPE-I OR TYPE-II DIABETES", Nursing research, 47(3), 1998, pp. 171-179

Abstract

Background: End-stage renal disease and diabetes mellitus are known to cause autonomic dysfunctions that are responsible for poor outcomes. Studies suggest that 24-hour heart rate variability with power spectral analysis is more sensitive to early changes in autonomic function than laboratory-evoked measures. Objectives: To evaluate cardiovascularautonomic function in patients (a) awaiting kidney or pancreas-kidneytransplantation, (b) without diabetes (NonDM), (c) with Type I insulin dependent diabetes mellitus (IDDM), and (d) with Type II noninsulin dependent diabetes mellitus (NIDDM), and lo compare the results of thelaboratory-evoked cardiovascular autonomic tests with those from 24-hour heart rate variability monitoring with power spectral analysis. Method: This cross-sectional study examined autonomic function in prekidney transplant patients with and without diabetes (N = 96), comparing laboratory-evoked measures lo 24-hour measures. Results: The nondiabetic group had a normal change in heart rate with deep breathing, Valsalva ratio, and change in systolic blood pressure with tilt. Both diabetic groups had poorer values for all measures of heart rate variability; demonstrated abnormal changes in heart rate with deep breathing and borderline Valsalva ratios; demonstrated a greater decrease in circadian rhythmicity; and had lower SDNNS, pNN50s, and rMSSDs than the nondiabetic group. Conclusions: Results showed that 24-hour measures are more sensitive, that patients with end-stage renal disease and diabetes regardless of type experience significantly poorer function than do patients without diabetes, and that these values approach those associated with sudden cardiac death.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 21:13:42