Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Nov-Dec;11(5):26-29.

Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere's score system

Azhar Memon  1
Affiliations

Cardiac autonomic neuropathy in type 2 diabetes mellitus using Bellavere's score system

Azhar Memon. Int J Health Sci (Qassim). 2017 Nov-Dec.

Abstract

Objective: Determine the frequency of cardiac autonomic neuropathy (CAN) in type 2 diabetics using Bellavere's score system.

Subjects and methods: The present cross-sectional study was conducted at the Department of Medicine, Isra University Hospital Hyderabad from March to November 2011. Sixty voluntary participants of type 2 diabetes mellitus (DM) were selected through non-probability purposive sampling. Cardiac autonomic nerve function was assessed using Bellavere's score system. The data were analyzed on the Statistix version 10.0 (USA) using Student's t-test, Chi-square test, one-way ANOVA, and Tukey-Cramer test (P ≤ 0.05).

Results: Of 60 diabetics, CAN was observed in 29 (41.4%). Abnormal heart rate variability (HRV), valsalva ratio, 30-15th ratio, blood pressure (BP) response to standing, and handgrip was noted in 43 (61.4%), 27 (38.5%), 17 (24.2%), 5 (7.14%), and 18 (25.7%), respectively. The hemoglobin A1c was negative correlated with HRV, valsalva ratio, 30-15th ratio, and BP response to sustained handgrip; and positively correlated with BP response to standing, systolic BP, and diastolic BP. Duration of DM was not correlated with cardiac autonomic nerve function tests.

Conclusion: The CAN was observed in 29 (41.4%) using Bellavere's score system. The CAN score may be used as feasible and reproducible bedside clinical test in diabetic patients.

Keywords: Bellavere’s score; Cardiac autonomic neuropathy; Sindh; diabetes mellitus.

PubMed Disclaimer

References

    1. Naseer A, Almani SA, Qudoos SA, Maroof P, Naseer R. Effect of Allium sativum essential oil on the glycemic control and hyperlipidemia in Type 2 diabetes mellitus subjects. European J Pharm Med Res. 2017;4:88–92.
    1. American Diabetes Association. Standards of medical care in diabetes. Diabet care. 2012;35(Suppl 1):S11–63. - PMC - PubMed
    1. Almani SA, Naseer A, Gul S, Maheshwari SK, Naseer R, Uqaili AA. Oral α-tocopherol supplementation ameliorates the serum malondialdehyde, SOD, GPX, CAT, GSSH, blood lipids and glycemic control in Type 2 Diabetic subjects. European J Pharm Med Res. 2017;4:82–7.
    1. Mansour AA, Odea AH. Predictors of cardiovascular autonomic neuropathy in diabetic patients: A cross sectional study from Basra. Res Endocrinol. 2013;1:1–8.
    1. Vinik AI, Ziegler D. Diabetic cardiovascular autonomic neuropathy. Circulation. 2007;115:387–97. - PubMed

LinkOut - more resources