the ecg vertigo in diabetes and cardiac autonomic neuropathy糖尿病和心脏自主神经病变的心电图眩晕.pdfVIP

Hindawi Publishing Corporation Experimental Diabetes Research Volume 2011, Article ID 687624, 17 pages doi:10.1155/2011/687624 Review Article The ECG Vertigo in Diabetes and Cardiac Autonomic Neuropathy Christina Voulgari,1, 2 Nicholas Tentolouris,1 and Christodoulos Stefanadis2 1 Department of Propaedeutic and Internal Medicine, Athens University Medical School, Laiko General Hospital, 17 Saint Thomas Street, Athens 11527, Greece 2 Department of Cardiology, Athens University Medical School, Hippokration Hospital, 114 Vasilissis Sofias Avenue, Athens 11527, Greece Correspondence should be addressed to Christina Voulgari, c v 24@yahoo.gr Received 23 December 2010; Accepted 2 March 2011 Academic Editor: Alexander Kokkinos Copyright © 2011 Christina Voulgari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The importance of diabetes in the epidemiology of cardiovascular diseases cannot be overemphasized. About one third of acute myocardial infarction patients have diabetes, and its prevalence is steadily increasing. The decrease in cardiac mortality in people with diabetes is lagging behind that of the general population. Cardiovascular disease is a broad term which includes any condition causing pathological changes in blood vessels, cardiac muscle or valves, and cardiac rhythm. The ECG offers a quick, noninvasive clinical and research screen for the early detection of cardiovascular disease in diabetes. In this paper, the clinical and research value of the ECG is readdressed in diabetes and in the presence of cardiac autonomic neuropathy. 1. Introduction