Cardiac autonomic neuropathy in patients with diabetes mellitus: current perspectives.
Cardiac autonomic neuropathy in patients with diabetes mellitus: current perspectives.
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DOI：
10.2147/dmso.s129797
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Tahrani AA
中科院分区：
文献类型：
--
作者：
Fisher VL;Tahrani AA
心脏自主神经病变（CAN）是糖尿病（DM）的一种常见且常被误诊的并发症。CAN与糖尿病患者的死亡率、心血管疾病、慢性肾脏疾病和发病率增加有关，但尽管有这些显著后果，CAN往往在很长一段时间内未被诊断出来。这通常是由于疾病直到后期才出现症状，以及缺乏容易获得的筛查策略。本文就糖尿病患者CAN的流行病学、发病机制、诊断、后果和治疗等方面的最新进展进行综述。
Cardiac autonomic neuropathy (CAN) is a common and often-underdiagnosed complication of diabetes mellitus (DM). CAN is associated with increased mortality, cardiovascular disease, chronic kidney disease, and morbidity in patients with DM, but despite these significant consequences CAN often remains undiagnosed for a prolonged period. This is commonly due to the disease being asymptomatic until the later stages, as well as a lack of easily available screening strategies. In this article, we review the latest developments in the epidemiology, pathogenesis, diagnosis, consequences, and treatments of CAN in patients with DM.