RỐI LOẠN THẦN KINH TỰ CHỦ TIM MẠCH Ở NGƯỜI BỆNH ĐÁI THÁO ĐƯỜNG TYP 2 TẠI BỆNH VIỆN ĐA KHOA TÂM ANH NĂM 2022 - 2023

Abstract

Objective: Describe clinical manifestations, Ewing tests result and factors influencing the Ewing tests result in type 2 diabetes patients. Subjects and methods: Descriptive cross-sectional study on 75 type 2 diabetes patients at Tam Anh general Hospital from 10/2022 to 06/2023. Result: The mean age of the study group was 63,15 ± 10,03, the majority of patients are aged 60-69 (37,33%). There is no significant differences exist between males and females in the rate of cardiac autonomic neuropathy. The clinical manifestations in the early stage are tarchycardia at rest, urinary disorders. The clinical manifestations in late stage are palpitation, postural hypotension, exercise intolerance, chest pain, dyspenya. The rate of cardiac autonomic neuropathy in type 2 diabetes is 41,33%. The majority of patients are diagnosed in early stage. The rate of cardiac autonomic neuropathy is higher in type 2 diabetes patients have been diagnosed for more than 5 years, smoking, using alcohol, dislipidemia, hypertension, obesity and HbA1C >7%. Consclusion: Cardiac autonomic neuropathy have a high rate in people with type 2 diabetes, higher in patients with many risk factors. Clinical manifestations are poor and non-specific. Therefore, it is necessary for using the Ewing test to diagnose this complication, especially in the early stage when the clinical manifestations are not clear.