AUTONOMIC NEUROPATHY INFLUENCES GREAT TOE BLOOD-PRESSURE

被引:25
|
作者
UCCIOLI, L
MONTICONE, G
DUROLA, L
RUSSO, F
MORMILE, F
MENNUNI, G
MENZINGER, G
机构
[1] UNIV ROMA TOR VERGATA, DEPT ENDOCRINOL, ROME, ITALY
[2] UNIV ROMA TOR VERGATA, DEPT SURG, ROME, ITALY
[3] UNIV CATTOLICA SACRO CUORE, DEPT INTERNAL MED, I-00168 ROME, ITALY
[4] UNIV CATTOLICA SACRO CUORE, DEPT NEUROL, I-00168 ROME, ITALY
关键词
D O I
10.2337/diacare.17.4.284
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE - To assess the influence of autonomic neuropathy on toe blood press RESEARCH DESIGN AND METHODS - The age-matched study subjects included 20 non-insulin-dependent diabetes mellitus (NIDDM) patients with autonomic neuropathy (DN) and 10 NIDDM patients without autonomic neuropathy (D), assessed by standard cardiovascular tests and galvanic skin response, and 8 control subjects (C). None of the subjects had peripheral vascular disease (PVD) (ankle/brachial index 0.9-1.1. RESULTS - The TBP and toe/brachial index (TBI) were significantly lower in DN than in C and D (P < 0.01). The saturation index (SI), the ratio between foot venous and arterial partial pressure of oxygen (PO2), was significantly higher in DN than in C and D (P < 0.05). An inverse relationship was found between TBI and SI (r = 0.554, P = 0.001). CONCLUSIONS - The autonomic nervous system directly influences peripheral circulation. In diabetic patients without PVD, a failure of sympathetic fibers caused by autonomic neuropathy could lead to a reduction of TBP. Therefore, TBP cannot be used as an ischemic index in diabetic patients.
引用
收藏
页码:284 / 287
页数:4
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