Evidence map›Paper›PMID 24567799›Full record

ReviewWorld journal of diabetes2014

Cardiac autonomic neuropathy in patients with diabetes mellitus.

Gerasimos Dimitropoulos, Abd A Tahrani, Martin J Stevens

2 registry-linked trialsAbstract readReview
In one paragraph

Review in World journal of diabetes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 142 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 5 pooled it
18.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06461377 phase4recruitingstarted 2024, after this paper: background citation

The Ameliorative Effects of GLP-1RA on Diabetic Cardiac Autonomatic Neuropathy

Ran2024Enrolled50Registered outcomes20Posted comparisons0ConditionsDiabetes With Diabetic Autonomic Neuropathy (Diagnosis), Type 2 DiabetesArmsGlucagon-like peptide-1 receptor agonist:Semaglutide
Open the trial in the graph
NCT07558863 phase4recruitingstarted 2026, after this paper: background citation

A Study on the Effect of GLP-1 Receptor Agonist (GLP-1RA) Intervention on Cardiac Autonomic Neuropathy in Patients With Type 2 Diabetes Mellitus

Ran2026Enrolled60Registered outcomes6Posted comparisons0ConditionsDiabetes With Diabetic Autonomic Neuropathy (Diagnosis), Type 2 DiabetesArmsGLP-1 Receptor Agonists
Open the trial in the graph
3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 5 syntheses or guidelines pooled it, 340 citations in OpenAlex.

  1. Pooled it
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  4. Does resistance training modulate cardiac autonomic control? A systematic review and meta-analysis.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Pooled it
  5. Electrochemical skin conductance: a systematic review.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Pooled it
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82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Gerasimos DimitropoulosGerasimos Dimitropoulos, Abd A Tahrani, Martin J Stevens, Department of Diabetes and Endocrinology, Heart of England National Health Service Foundation Trust, B15 2TT Birmingham, United Kingdom.
Abd A TahraniGerasimos Dimitropoulos, Abd A Tahrani, Martin J Stevens, Department of Diabetes and Endocrinology, Heart of England National Health Service Foundation Trust, B15 2TT Birmingham, United Kingdom.
Martin J StevensGerasimos Dimitropoulos, Abd A Tahrani, Martin J Stevens, Department of Diabetes and Endocrinology, Heart of England National Health Service Foundation Trust, B15 2TT Birmingham, United Kingdom.
Heart of England NHS Foundation Trust · GB

Funding

Department of Health RTF/01/094
6 · The paper itself

Abstract

Cardiac autonomic neuropathy (CAN) is an often overlooked and common complication of diabetes mellitus. CAN is associated with increased cardiovascular morbidity and mortality. The pathogenesis of CAN is complex and involves a cascade of pathways activated by hyperglycaemia resulting in neuronal ischaemia and cellular death. In addition, autoimmune and genetic factors are involved in the development of CAN. CAN might be subclinical for several years until the patient develops resting tachycardia, exercise intolerance, postural hypotension, cardiac dysfunction and diabetic cardiomyopathy. During its sub-clinical phase, heart rate variability that is influenced by the balance between parasympathetic and sympathetic tones can help in detecting CAN before the disease is symptomatic. Newer imaging techniques (such as scintigraphy) have allowed earlier detection of CAN in the pre-clinical phase and allowed better assessment of the sympathetic nervous system. One of the main difficulties in CAN research is the lack of a universally accepted definition of CAN; however, the Toronto Consensus Panel on Diabetic Neuropathy has recently issued guidance for the diagnosis and staging of CAN, and also proposed screening for CAN in patients with diabetes mellitus. A major challenge, however, is the lack of specific treatment to slow the progression or prevent the development of CAN. Lifestyle changes, improved metabolic control might prevent or slow the progression of CAN. Reversal will require combination of these treatments with new targeted therapeutic approaches. The aim of this article is to review the latest evidence regarding the epidemiology, pathogenesis, manifestations, diagnosis and treatment for CAN.

Indexed as

AutonomicCardiacCardiac autonomic neuropathyCardiovascularDiabetes mellitusDiabetic cardiomyopathyDysfunctionHeart rate variabilityNeuropathyParasympatheticPostural hypotensionSpectral analysisSympathetic

Identifiers

PMID24567799
PMCPMC3932425
OpenAlexW1996631823

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.