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Titolo:
Differences in heart rate variability parameters during the post-dialytic period in type II diabetic and non-diabetic ESRD patients
Autore:
Giordano, M; Manzella, D; Paolisso, G; Caliendo, A; Varricchio, M; Giordano, C;
Indirizzi:
Univ Catania, Ist Clin Med L Condorelli, I-95124 Catania, Italy Univ Catania Catania Italy I-95124 L Condorelli, I-95124 Catania, Italy Univ Naples 2, Dept Geriatr Med & Metab Dis, Naples, Italy Univ Naples 2 Naples Italy Dept Geriatr Med & Metab Dis, Naples, Italy Univ Naples 2, Inst Internal Med & Nephrol, Naples, Italy Univ Naples 2 Naples Italy , Inst Internal Med & Nephrol, Naples, Italy
Titolo Testata:
NEPHROLOGY DIALYSIS TRANSPLANTATION
fascicolo: 3, volume: 16, anno: 2001,
pagine: 566 - 573
SICI:
0931-0509(200103)16:3<566:DIHRVP>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC-RENAL-FAILURE; AUTONOMIC FUNCTION; SPECTRAL-ANALYSIS; TRANSPLANTATION; MORTALITY; DIALYSIS; HEMODIALYSIS; DYSFUNCTION;
Keywords:
diabetes mellitus; end-stage renal disease; heart rate variability; sympathetic activity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Giordano, M Univ Catania, Ist Clin Med L Condorelli, Osped Vittorio Emanuele, Via Plebiscito 628, I-95124 Catania, Italy Univ Catania Via Plebiscito 628 Catania Italy I-95124 , Italy
Citazione:
M. Giordano et al., "Differences in heart rate variability parameters during the post-dialytic period in type II diabetic and non-diabetic ESRD patients", NEPH DIAL T, 16(3), 2001, pp. 566-573

Abstract

Background. Heart rate variability parameters were evaluated in 10 healthysubjects, 10 type II diabetic patients and 20 end-stage renal disease (ESRD) patients (11 non-diabetic and nine type II diabetic) undergoing chronic haemodialysis. The study was divided in two phases. Methods. In the first phase all subjects underwent electrocardiograph (ECG) recording under baseline conditions. In the second phase only ESRD patients underwent haemodialysis and ECG recording. On the day of dialysis and ECG recording the ECG recording was started Ih before the haemodialysis session (pre-dialytic period), and continued throughout the dialysis (dialytic period), until the morning after (post-dialytic period). Results. Compared with ESRD patients, non-ESRD patients showed the lowest cardiac sympathetic activity. Diabetic patients compared to non-diabetic patients showed a prevalence of cardiac sympathetic activity in the pre-dialytic period (P<0.01). During the dialytic period in comparison with the pre-dialytic one, a further increase in cardiac sympathetic activity was observed in both diabetic and non-diabetic ESRD patients (P<0.001). However, in the postdialysis period the cardiac autonomic nervous system activity remained at the pre-dialytic condition in the diabetic group. In contrast, in thenon-diabetic group the cardiac autonomic balance shifted towards a parasympathetic prevalence in the post-dialytic period (P < 0.01). In addition, a significant correlation was found between changes in heart rate variabilityand changes in plasma urea concentration in the nondiabetic group only (r =0.65; P<0.03). Conclusions. Non-insulin-dependent diabetic uraemic patients undergoing a chronic haemodialysis programme have a severe impairment of heart rate variability. This is probably due to autonomic neuropathy related to the effects of both diabetes and chronic uraemic conditions. In non-diabetic haemodialysis patients uraemia causes similar but reversible changes in heart rate variability compared with the changes caused by diabetes.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 08/07/20 alle ore 07:46:43