ArticleJournal of diabetes2026
Clinical Characteristics of Diabetic Cardiovascular Autonomic Neuropathy in Korean Individuals With Type 2 Diabetes.
Article in Journal of diabetes, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
aimThis study aimed to evaluate the prevalence, clinical characteristics, and factors associated with cardiovascular autonomic neuropathy (CAN) in Korean individuals with long-standing type 2 diabetes mellitus (T2DM).
methodsA total of 876 participants with long-standing T2DM were enrolled in this multicenter cross-sectional study. CAN was evaluated using standard cardiovascular autonomic reflex tests (CARTs) and corrected QT interval (QTc), with additional heart rate variability (HRV) analysis. CAN severity was classified as early, definite, or severe. Multivariable logistic regression analysis was performed to identify factors independently associated with CAN.
resultsCAN was detected in 88.4% of participants. Individuals with CAN showed reduced HRV indices and prolonged QTc intervals. Multivariable analysis revealed advanced age (OR = 1.062; 95% CI: 1.035-1.091; p < 0.0001) and higher systolic blood pressure (OR = 1.036; 95% CI: 1.022-1.051; p < 0.0001) as factors independently associated with CAN.
conclusionCAN is highly prevalent among Korean individuals with long-standing T2DM. Older age and elevated systolic blood pressure were independently associated with CAN, highlighting the importance of routine CAN screening and careful blood pressure management.
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