Cardiovascular Autonomic Neuropathy in Systemic Lupus Erythematosus.
Indian J Physiol Pharmacol
;
2015 Apr-June ; 59(2): 155-161
Article
in English
| IMSEAR
| ID: sea-158700
ABSTRACT
Purpose:
Objective is to evaluate cardiovascular autonomic function in SLE by simple non-invasive tests.Methods:
A case control study was carried out involving 18-50 yrs old previously diagnosed SLE patients and same number of age and sex-matched controls. Parasympathetic function was assessed by heart rate (HR) response to Valsalva maneuver, deep breathing and standing. Sympathetic function was evaluated by blood pressure response to standing and sustained hand-grip test (HGT).Results:
There were 50 female SLE patients. They had significantly higher minimum resting HR and diastolic blood pressure (DBP). HR variation with deep breathing, expiratory inspiratory ratio, 3015 ratio and DBP change in response to HGT were significantly lower inpatients compared to controls. Thirty patients (60%) had at least one abnormal or two borderline test results indicating autonomic impairment of which 27 had parasympathetic dysfunction and 7 had sympathetic dysfunction.Conclusion:
Autonomic dysfunction is common in SLE with higher prevalence of parasympathetic impairment.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
/
Risk factors
Language:
English
Journal:
Indian J Physiol Pharmacol
Year:
2015
Type:
Article
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