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Cardiovascular Autonomic Neuropathy prevalence diagnosed by the modified Rines Valcardi method in patients with diabetes from two primary care clinics from Puerto Ordaz, Estado Bolívar, Venezuela

Abstract:

Objective: To evaluate the prevalence of cardiovascular autonomic neuropathy by the Modified Rines Valcardi method in individuals diagnosed with Diabetes Mellitus. Materials and Methods: The sample consisted of a group of 104 patients diagnosed with Diabetes Mellitus, which come to Club Diabetic outpatient IVSS Renato Valera Aguirre and the Consultation of Internal Medicine Uyapar Hospital in Puerto Ordaz, Edo. Bolivar. The choice was intentional non-probabilistic sampling. Anamnesis on the presence or absence of cardiovascular history (arrhythmias or previous heart attacks), time since diagnosis of diabetes and type of treatment received time, the test RINES VALCARDI monitor was performed using a pulse oximeter was performed Data were analyzed using the Statistical Package for Social Sciences (SPSS) v. 19 for Windows (SPSS IBM Ch, IL). Results: The frequency of individuals with autonomic neuropathy was 26%, with a higher percentage in females (63%), the age group 60-69 years (44.4%) and the use of insulin therapy (44.4 %); sex, age groups and pharmacology therapy showed no statistically significant association with the presence of autonomic neuropathy, a history of cardiac arrhythmias did show statistical association with the diagnosis of autonomic neuropathy with a frequency of both disorders in 74.1% of cases, as well as a history of myocardial infarction with a percentage of both diseases in 29.6% .The average years with diabetes mellitus was 15 ± 10 years. Conclusions: The RINES VALCARDI monitor, method allows primary care physicians have at hand a tool diagnosed quickly and interpretation. In the study high prevalence of Cardiovascular Autonomic Neuropathy whose risk increases in patients over 10 years with the diagnosis was evident. With statistically significant correlation between the presence of arrhythmias and myocardial infarction in these patients with the diagnosis of Cardiovascular Autonomic Neuropathy.