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Front Endocrinol (Lausanne). 2021 Sep 21;12:709114. doi: 10.3389/fendo.2021.709114. eCollection 2021.

Peripheral Nerve Conduction And Sympathetic Skin Response Are Reliable Methods to Detect Diabetic Cardiac Autonomic Neuropathy.

Frontiers in endocrinology

Xiaopu Lin, Chuna Chen, Yingshan Liu, Yu Peng, Zhenguo Chen, Haishan Huang, Lingling Xu

Affiliations

  1. Department of Huiqiao Building, Nanfang Hospital, Southern Medical University, Guangzhou, China.
  2. Department of Endocrinology, Shenzhen Hospital, Southern Medical University, Shenzhen, China.
  3. The Third School of Clinical Medicine, Southern Medical University, Guangzhou, China.
  4. Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

PMID: 34621241 PMCID: PMC8490774 DOI: 10.3389/fendo.2021.709114

Abstract

AIM: This study aimed to investigate the role of nerve conduction studies (NCS) and sympathetic skin response (SSR) in evaluating diabetic cardiac autonomic neuropathy (DCAN).

METHODS: DCAN was diagnosed using the Ewing test combined with heart rate variability analysis. NCS and SSR were assessed by electrophysiological methods. The association between NCS/SSR and DCAN was assessed

RESULTS: The amplitude and conduction velocity of the motor/sensory nerve were found to be significantly lower in the DCAN+ group (all

CONCLUSIONS: NCS and SSR are reliable methods to detect DCAN. Abnormality in the peroneal nerve (motor nerve) is crucial in predicting DCAN. SSR may help predict DCAN.

Copyright © 2021 Lin, Chen, Liu, Peng, Chen, Huang and Xu.

Keywords: Ewing test; T2DM; diabetic cardiac autonomic neuropathy; heart rate variability; nerve conduction; sympathetic skin response

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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