Clinical Implications of Baroreflex Sensitivity in Type 2 Diabetes

被引:10
|
作者
Sakamoto, Masaya [1 ]
Matsutani, Daisuke [1 ]
Kayama, Yosuke [2 ]
机构
[1] Jikei Univ, Sch Med, Dept Internal Med, Div Diabet Metab & Endocrinol, Tokyo, Japan
[2] Jikei Univ, Sch Med, Dept Cardiol, Tokyo, Japan
关键词
Cardiovascular autonomic neuropathy; Short-term glycemic variability; Long-term glycemic variability; Visit-to-visit glycemic variability; BLOOD-PRESSURE VARIABILITY; VISIT GLYCEMIC VARIABILITY; SYMPATHETIC-NERVE ACTIVITY; HEART-RATE-VARIABILITY; AUTONOMIC DYSFUNCTION; ENDOTHELIAL FUNCTION; ARTERIAL BAROREFLEX; ANTIHYPERTENSIVE DRUGS; RESISTANT HYPERTENSION; MYOCARDIAL-INFARCTION;
D O I
10.1536/ihj.18-455
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The evaluation of baroreflex sensitivity (BRS), which maintains systemic circulatory homeostasis, is an established tool to assess cardiovascular autonomic neuropathy in type 2 diabetes mellitus (T2DM). As BRS plays an important function in blood pressure regulation, reduced BRS leads to an increase in blood pressure variability, which further leads to reduced BRS. This sequence of events becomes a vicious cycle. The major risk factors for reduced BRS are T2DM and essential hypertension, but many other risk factors have been reported to influence BRS. In recent years, reports have indicated that glycemic variability (GV), such as short- and long-term GV that are considered important risk factors for macrovascular and microvascular complications, is involved in reductions in BRS independently of blood glucose levels. In this review, we discuss reduced BRS in T2DM, its features, and the potential for its reversal.
引用
收藏
页码:241 / 246
页数:6
相关论文
共 50 条
  • [1] Effect of hypoglycemia on baroreflex sensitivity in individuals with type 2 diabetes: implications for autonomic control of cardiovascular function in diabetes
    Andrea V. Haas
    Andrew Koefoed
    Rebecca M. Easly
    Johanna Celli
    Mahyar Heydarpour
    Istvan Bonyhay
    Roy Freeman
    Gail K. Adler
    Clinical Autonomic Research, 2023, 33 : 727 - 735
  • [2] Baroreflex sensitivity: Measurement and clinical implications
    La Rovere, Maria Teresa
    Pinna, Gian Domenico
    Raczak, Grzegorz
    ANNALS OF NONINVASIVE ELECTROCARDIOLOGY, 2008, 13 (02) : 191 - 207
  • [3] Effect of hypoglycemia on baroreflex sensitivity in individuals with type 2 diabetes: implications for autonomic control of cardiovascular function in diabetes
    Haas, Andrea V.
    Koefoed, Andrew
    Easly, Rebecca M.
    Celli, Johanna
    Heydarpour, Mahyar
    Bonyhay, Istvan
    Freeman, Roy
    Adler, Gail K.
    CLINICAL AUTONOMIC RESEARCH, 2023, 33 (06) : 727 - 735
  • [4] Cardiovascular variability and spontaneous baroreflex sensitivity in type 2 diabetes
    Brasileiro, MD
    Malachias, MVB
    Lessa, PS
    Ida, F
    Consolim, F
    Irigoyen, MC
    Krieger, EM
    JOURNAL OF HYPERTENSION, 2004, 22 : S21 - S21
  • [5] Exercise training improves baroreflex sensitivity in type 2 diabetes
    Loimaala, A
    Huikuri, HV
    Kööbi, T
    Rinne, M
    Nenonen, A
    Vuori, I
    DIABETES, 2003, 52 (07) : 1837 - 1842
  • [6] Baroreflex sensitivity in obese patients without and with diabetes mellitus type 2
    Svacinova, H
    Siegelova, J
    Fiser, B
    Dusek, J
    Jancik, J
    Svoboda, L
    Hruby, I
    Soucek, M
    JOURNAL OF HYPERTENSION, 2005, 23 : S207 - S207
  • [7] Atorvastatin improves baroreflex sensitivity in patients with type 2 diabetes and dyslipidaemia
    Grigoropoulou, P.
    Eleftheriadou, I.
    Zoupas, C.
    Tsiakou, A.
    Kalopita, S.
    Kokkinos, A.
    Perrea, D.
    Katsilambros, N.
    Tentolouris, N.
    DIABETOLOGIA, 2012, 55 : S454 - S455
  • [8] Impact of hypertension on baroreflex sensitivity in patients with diabetes mellitus type 2
    Svacinová, H
    JOURNAL OF HYPERTENSION, 2003, 21 : S89 - S89
  • [9] Effect of atorvastatin on baroreflex sensitivity in subjects with type 2 diabetes and dyslipidaemia
    Grigoropoulou, Pinelopi
    Eleftheriadou, Ioanna
    Zoupas, Christos
    Makrilakis, Konstantinos
    Papassotiriou, Ioannis
    Margeli, Alexandra
    Perrea, Despoina
    Katsilambros, Nicholas
    Tentolouris, Nicholas
    DIABETES & VASCULAR DISEASE RESEARCH, 2014, 11 (01): : 26 - 33
  • [10] Baroreflex sensitivity in patients with type I diabetes mellitus
    Martiniskova, Zuzana
    Kucera, Pavol
    Sykora, Marek
    Kollar, Branislav
    Goldenberg, Zoltan
    Turcani, Peter
    NEUROENDOCRINOLOGY LETTERS, 2009, 30 (04) : 491 - 495