Evidence mapPaperPMID 40155989Full record

ArticleCardiovascular diabetology2025

Heart rate variability tests for diagnosing cardiovascular autonomic neuropathy in patients with type 2 diabetes mellitus in advanced stages of kidney disease.

João Soares Felício, Maria Antônia Matos Araújo, Gabriela Nascimento de Lemos, Isabel Jacob Fernandes, Licia Oliveira Ruivo, Ester da Gama Chambouleyron, Lilian de Souza D'Albuquerque Silva, Caroline Filgueira Nunes, Gisely Mouta de Andrade Paes, Franciane Trindade Cunha de Melo and 8 more

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

João Soares FelícioUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil. felicio.bel@terra.com.br.
Maria Antônia Matos AraújoUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Gabriela Nascimento de LemosUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Isabel Jacob FernandesUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Licia Oliveira RuivoUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Ester da Gama ChambouleyronUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Lilian de Souza D'Albuquerque SilvaUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Caroline Filgueira NunesUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Gisely Mouta de Andrade PaesUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Franciane Trindade Cunha de MeloUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Pedro Paulo Freire PianiUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Ana Regina Bastos MottaUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Valéria Suênya Galvão LealUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Ana Carolina Contente Braga de SouzaUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Natercia Neves Marques de QueirozUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Márcia Costa Dos SantosUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Karem Mileo FelícioUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.
Priscila Alcântara Barbosa de FigueiredoUniversity Hospital João de Barros Barreto, Endocrinology Division, Federal University of Pará, Mundurucus Street, Guamá, Belém, 4487, 66073-000, Pará, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiovascular Autonomic Neuropathy (CAN) is one of the most devastating complications of Diabetes Mellitus (DM) and presents high morbidity and mortality. Its association with diabetic kidney disease (DKD) worsens the condition even further. CAN diagnosis remains a challenge and is being based on reflex tests which are laborious, risky and difficult to perform. Heart Rate Variability (HRV) tests has been suggested as having high utility in diagnosing CAN, but this issue remains controversial. The aim is to evaluate the sensitivity and specificity of HRV tests to diagnose CAN in patients with type 2 diabetes mellitus (T2DM) and DKD with severely increased albuminuria. This is a cross-sectional study in patients with T2DM and DKD with severely increased albuminuria. A total of 48 subjects were recruited and underwent laboratory and neuropathy assessment. The diagnosis of CAN was first confirmed in 75% (36/48) of patients based on cardiovascular autonomic reflex tests (CARTs). HRV tests (VLF, LF, TP and SDNN) differed between groups with and without CAN (212 vs. 522 ms

Indexed as

Autonomic Nervous SystemAutonomic Nervous System DiseasesDiabetes Mellitus, Type 2Diabetic NephropathiesDiabetic NeuropathiesHeart RateAgedAlbuminuriaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsSeverity of Illness IndexCardiovascular autonomic neuropathyDiabetic kidney diseaseDiagnostic testsType 2 diabetes mellitus

Identifiers

PMID40155989
PMCPMC11954263

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.