Beeinträchtigung des kardialen autonomen Nervensystems und Arrhythmie-Inzidenz bei schwerer Hyperglykämie

Süfke, Sven; Djonlagić, H.; Kibbel, Thomas

doi:10.1007/s00063-010-1150-3

Cited by 8 publications

(4 citation statements)

References 86 publications

(83 reference statements)

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“…Beyond electrolyte abnormalities and acidosis from increased serum ketones, other factors have also been implicated in the development of arrhythmias. During observation, Sufke et al ( 16 ) witnessed supraventricular and ventricular arrhythmias in 12 patients (10 with DKA and 2 with hyperglycemic hyperosmolar syndrome). Autonomic dysfunction resulting from high glucose levels was elucidated to be the cause of these arrhythmias ( 16 ).…”

Section: Commentarymentioning

confidence: 99%

Supraventricular Tachycardia With Underlying Atrial Flutter in a Diabetic Ketoacidosis Patient

et al. 2015

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Section: Commentarymentioning

confidence: 99%

Supraventricular Tachycardia With Underlying Atrial Flutter in a Diabetic Ketoacidosis Patient

et al. 2015

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“…Previous literature has reported that the deterioration of the cardiac autonomic nervous system in patients with diabetes is associated with an increase in cardiac and arrhythmogenic mortality. 20 Emerging evidence has also demonstrated that diabetes affects the electrical conduction system of the heart, culminating in lethal arrhythmia and sudden cardiac death. Hypoglycemia, hyperglycemia, and glucose uctuations can induce arrhythmia by activating various pathways 21,22 .…”

Section: Discussionmentioning

confidence: 99%

“…A total of 309 pregnant women were recruited in this study involving 280 patients, 29 of whom experienced two pregnancies during the 10 years, with an average age of 30.7 ± 4.5 years (range: 17-43 years). In the 309 cases with pre-excitation syndrome during pregnancy, 62 (20…”

Section: Patient Characteristicsmentioning

confidence: 99%

Pregnancy outcomes in patients complicated with pre-excitation syndrome

Wang,

Xin,

et al. 2023

Preprint

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Introduction: Pregnant women with pre-excitation syndrome are more likely to develop supraventricular tachycardia (SVT) during pregnancy and delivery, leading to an increased risk of adverse events. Method This was a retrospective study of 309 pregnancies in 280 women (29 women had two pregnancies in this series) with pre-excitation syndrome who delivered at West China Second University Hospital from June 2011 to October 2021. All of the recruited pregnant women were divided into SVT and non-SVT groups to analyze the cardiac and obstetric complications. Results Among the included pregnant women, the prevalence of pre-excitation syndrome was 0.24% (309/127725). In the 309 cases with pre-excitation syndrome during pregnancy, 62 (20.1%, 62/309) had a history of SVT. In the 62 cases with SVT during pregnancy, 22 (35.5%) cases had a history of SVT. Gestational diabetes mellitus was associated with SVT during pregnancy. The cesarean section rate was 88.7% in the SVT group, which was significantly higher than that in the non-SVT group (64.8%) (P < 0.001). Cases with SVT during pregnancy had more cardiac and obstetric complications. Four fetal deaths were recorded in the SVT group. Additionally, 29 women experienced two pregnancies during the study period, among whom, five received radiofrequency ablation after the first delivery and obtained better outcomes in the second pregnancy. Conclusion The outcomes of pregnant women with pre-excitation syndrome were closely related to SVT, with possible risk factors including history of SVT before pregnancy, cardiac function, heart organic abnormalities, and gestational diabetes mellitus.

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“…[ 95 ] In humans or animals with severe hyperglycemia, impairment of the cardiac autonomic nervous system may occur. [ 96 97 ] Diabetic gastroparesis is well-known but poorly understood phenomenon, which may also be due to affection of the autonomic innervation by the vagal nerve. [ 98 ]…”

Section: Disorders Of Lower Cranial Nervesmentioning

confidence: 99%

Disorders of the lower cranial nerves

Finsterer

Grisold

2015

Journal of Neurosciences in Rural Practice

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Lesions of the lower cranial nerves (LCN) are due to numerous causes, which need to be differentiated to optimize management and outcome. This review aims at summarizing and discussing diseases affecting LCN. Review of publications dealing with disorders of the LCN in humans. Affection of multiple LCN is much more frequent than the affection of a single LCN. LCN may be affected solely or together with more proximal cranial nerves, with central nervous system disease, or with nonneurological disorders. LCN lesions have to be suspected if there are typical symptoms or signs attributable to a LCN. Causes of LCN lesions can be classified as genetic, vascular, traumatic, iatrogenic, infectious, immunologic, metabolic, nutritional, degenerative, or neoplastic. Treatment of LCN lesions depends on the underlying cause. An effective treatment is available in the majority of the cases, but a prerequisite for complete recovery is the prompt and correct diagnosis. LCN lesions need to be considered in case of disturbed speech, swallowing, coughing, deglutition, sensory functions, taste, or autonomic functions, neuralgic pain, dysphagia, head, pharyngeal, or neck pain, cardiac or gastrointestinal compromise, or weakness of the trapezius, sternocleidomastoid, or the tongue muscles. To correctly assess manifestations of LCN lesions, precise knowledge of the anatomy and physiology of the area is required.

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Beeinträchtigung des kardialen autonomen Nervensystems und Arrhythmie-Inzidenz bei schwerer Hyperglykämie

Cited by 8 publications

References 86 publications

Supraventricular Tachycardia With Underlying Atrial Flutter in a Diabetic Ketoacidosis Patient

Supraventricular Tachycardia With Underlying Atrial Flutter in a Diabetic Ketoacidosis Patient

Pregnancy outcomes in patients complicated with pre-excitation syndrome

Disorders of the lower cranial nerves

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