Heartbeat and arrhythmia perception in diabetic autonomic neuropathy

Paul Pauli, Lydia Hartl, Christian Marquardt, Henrica Stalmann, Friedrich Strian
1991 Psychological Medicine  
sYNOPSIS A comparative study of diabetics with autonomic neuropathy (N = 13) as against nonneuropathic diabetics (N = 16) and healthy control persons (N = 20) was carried out with respect 10 heart rate both at rest and under stress, frequency of cardiac arrhythmias in a 24-h ECG and accuracy of heartbeat and arrhythmia perception. In the subjects with diabetic autonomic neuropathy, the spontaneaus variability and stress-induced reactivity of the heart rate as weil as the number of tachycardic
more » ... isodes were reduced, whereas the frequency of ventricular extrasystoles was somewhat increased. Impaired heartbeat perception and a complete Ioss of perception of arrhythmias as a consequence of neuropathic deafferentation could be demonstrated. Cardiac perception disordersalso playavital roJe in other clinical problems, e.g. silent myocardial infarction and Iack of awareness of hypoglycaemia in diabetes mellitus.
doi:10.1017/s0033291700020523 fatcat:ct6sdsgirne4hgu4n75unxtoha