PMID- 21341457 OWN - NLM STAT- MEDLINE DCOM- 20110404 LR - 20221207 IS - 0040-3660 (Print) IS - 0040-3660 (Linking) VI - 82 IP - 10 DP - 2010 TI - [Clinical and metabolic risk factors for cardiovascular autonomic neuropathy in patients with type 2 diabetes mellitus]. PG - 15-9 AB - AIM: to study clinical and metabolic risk factors for cardiovascular autonomic neuropathy in patients with type 2 diabetes mellitus (T2DM). SUBJECTS AND METHODS: One hundred and fifty-seven patients were examined. According to the results of ECG tests and cardiointervalography, the patients were divided into 2 groups: 1) 45 patients without cardiovascular autonomic neuropathy; 2) 112 patients with this condition. RESULTS: The T2DM patients with cardiovascular autonomic neuropathy significantly differed from those without autonomic disorders in DM duration, insulin level, insulin resistance indices (HOMA-IR, FIRI), atherogenicity coefficient, and high-density lipoprotein levels. The glycated hemoglobin level of more than 9% affected the values of autonomic ECG tests. CONCLUSION: In patients with T2DM, the development of cardiovascular autonomic neuropathy is affected by not only the duration of DM and the decompensation of carbohydrate metabolism, but also by hyperinsulinemia and insulin resistance, the low level of high-density lipoproteins, and the high coefficient of atherogenicity. FAU - Bondar', I A AU - Bondar' IA FAU - Shabel'nikova, O Iu AU - Shabel'nikova OIu LA - rus PT - Journal Article PL - Russia (Federation) TA - Ter Arkh JT - Terapevticheskii arkhiv JID - 2984818R RN - 0 (Biomarkers) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) SB - IM MH - Biomarkers/blood MH - Body Mass Index MH - Cardiovascular Diseases/blood/*etiology/*metabolism MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/blood/*complications/metabolism MH - Diabetic Neuropathies/blood/*etiology/*metabolism MH - Electrocardiography MH - Female MH - Glycated Hemoglobin/analysis MH - Humans MH - Insulin Resistance MH - Lipid Metabolism MH - Male MH - Middle Aged MH - Risk Factors EDAT- 2011/02/24 06:00 MHDA- 2011/04/05 06:00 CRDT- 2011/02/24 06:00 PHST- 2011/02/24 06:00 [entrez] PHST- 2011/02/24 06:00 [pubmed] PHST- 2011/04/05 06:00 [medline] PST - ppublish SO - Ter Arkh. 2010;82(10):15-9.