Abstract
Cardiac autonomic function was evaluated in 23 patients with fibrocalculous pancreatic diabetes (FCPD). Though none of the patients had any symptoms referable to autonomic dysfunction, 5 had abnormal heart rate responses. The variability in the heart rate in response to deep breathing was the earliest abnormality found in our patients. Four of the 5 patients had clinical evidence of neuropathy while all 5 had retinopathy and overt nephropathy. We therefore conclude that the autonomic nervous system can be involved in patients with FCDP even as early as 2 years after the onset of the disease, and thus that evaluation of the autonomic nervous system should be part of the routine evaluation of all patients with FCPD.
Original language | English |
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Pages (from-to) | 36-38 |
Number of pages | 3 |
Journal | Acta Diabetologica |
Volume | 30 |
Issue number | 1 |
DOIs | |
State | Published - Mar 1993 |
Keywords
- Autonomic function
- Diabetic neuropathy
- Fibrocalculous pancreatic diabetes