ArticleIndian heart journal
Comparative study of cardiac autonomic status by heart rate variability between under-treatment normotensive and hypertensive known type 2 diabetics.
Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Heart rate variability in type 2 diabetes mellitus: A systematic review and meta-analysis.PloS one · 2018Pooled it
- Enhanced ECG signal based on heart rate variability: validation of the direct TR correction sequence in diabetes.Frontiers in cardiovascular medicine · 2026Article
- Age predominates as associate than reproductive health stage for 5 min heart rate variability in middle aged women- a cross-sectional study from Gujarat, India.Journal of family medicine and primary care · 2025Article
- Diabetes-Induced Cardiac Autonomic Neuropathy: Impact on Heart Function and Prognosis.Biomedicines · 2022Review
- Structural and Electrical Remodeling of the Sinoatrial Node in Diabetes: New Dimensions and Perspectives.Frontiers in endocrinology · 2022Review
- Assessment of Arterial Stiffness, Brachial Haemodynamics, and Central Haemodynamics in Diabetic Hypertensives: A Pulse Wave Analysis-Based Case-Control Study from an Urban Area of West India.Pulse (Basel, Switzerland) · 2021Article
- Assessment of sudomotor function in hypertensive with/without type-2 diabetes patients using SUDOSCAN: An electrophysiological study.Clinical neurophysiology practice · 2021Article
- Heart rate variability is reduced in normal pregnancy irrespective of trimester: A cross-sectional study from Gujarat, India.Journal of family medicine and primary care · 2020Article
- Central hemodynamics and arterial stiffness by oscillometric pulse-wave analysis in treated Gujarati euglycemic hypertensives: A case-control study.Journal of family medicine and primary care · 2019Article
- Central hemodynamics and arterial stiffness in Gujarati diabetics not receiving any antihypertensive: A case-control study based on oscillometric pulse wave analysis.Journal of family medicine and primary care · 2019Article
- Impact of arterial hypertension and type 2 diabetes on cardiac autonomic modulation in obese individuals with recommendation for bariatric surgery.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019Article
- Co-Existence of hypertension worsens post-exercise cardiac autonomic recovery in type 2 diabetes.Indian heart journal · 2018Observational
- Heart Rate Variability in Coexisting Diabetes and Hypertension.Arquivos brasileiros de cardiologia · 2018Article
- A Comparative Cross-Sectional Study of Cardiac Autonomic Status by Five Minute Heart Rate Variability among Type 2 Diabetics, Hypertensives and Normotensive-Nondiabetics.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Comparison of heart rate variability in normotensive and hypertensive Indian adults.Indian heart journalArticle
- Perceived Subjective Stress and its Association with 5-min Electrocardiogram-based Heart Rate Variability in Middle-aged Women of an Urban Area of West India.Journal of mid-life healthArticle
- Effect of Menopause on Arterial Stiffness and Central Hemodynamics: A Pulse Wave Analysis-Based Cross-sectional Study from Gujarat, India.Journal of mid-life healthArticle
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Authors and funding
5 authors.
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Abstract
backgroundCo-existence of hypertension is known in three quarter of Indian type 2 diabetics, this duo having adverse additive effect on cardiovascular health including dysautonomia. Latter can be measured by simple 5min heart rate variability (HRV) using simple electrocardiogram, which if reduced indicates cardiac risk.
objectiveWe compared HRV parameters between hypertensive and normotensive type 2 diabetics, looking for significant difference if any. MATERIALS AND
methods98 hypertensive and 40 normotensive type 2 diabetics treated as outpatients were evaluated for disease control and risk stratification. Fivemin resting HRV was measured by Variowin HR, software based instrument, using standard protocols to record time domain, frequency domain and Poincare plot parameters. They were compared between groups for difference.
resultsMean age was 56 and 51 years, duration 6 years and 4 years respectively in hypertensive (HT) and normotensive (NT) group of type 2 diabetics, which did not significantly differ in distribution of risk factors. There was poor glycaemic control (one third) in both groups and good pressure control in HT group. Both groups revealed all reduced HRV parameters with significant difference in-between only for LF/HF ratio (1.29 in HT vs 2.61 in NT group).
conclusionOur findings of HRV suggest that in type 2 diabetics with poor glycaemic and good pressure control, hypertension as a co-existing factor does not make significant difference in cardiac dysautonomia emphasizing residual risk despite antihypertensive treatment and need for early HRV screening, strict glycaemic control and other interventions.
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