Ischemic Heart Disease, Type-2 Diabetes Mellitus
Conditions
Keywords
diabetes, coronary artery disease, ischemic heart disease, autonomic function, heart rate turbulence, deceleration capacity, severe autonomic failure
Brief summary
The purpose of this study is to test whether cardiac autonomic dysfunction predicts is a prognostic marker in type-2 diabetics with ischemic heart disease
Detailed description
In patients with type 2-diabetes and ischemic heart disease autonomic function might be seriously affected. In the present study, markers of cardiac autonomic dysfunction, repolarization and respiration abnormalities will be assessed from Holter recordings and 30-minute recordings of high-resolution three dimensional ECG, non-invasive arterial blood pressure and respiratory activity. The correlation between markers of cardiac autonomic dysfunction and markers of severity of type-2 diabetes will be assessed. Autonomic dysfunction is assumed present when both heart rate turbulence and deceleration capacity are abnormal (severe autonomic failure). Assessment of severity of diabetes includes levels of HbA1c and urine albumine, duration and treatment of diabetes, and diabetes related complications (nephropathy, neuropathy, retinopathy).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* type-2 diabetes * coronary artery disease
Exclusion criteria
* age \>80 years * acute coronary syndrome * life expectancy \<1 year * unable to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Major cardiovascular event | 2 years | Combination of total mortality, non-fatal myocardial infarction and non-fatal stroke |
Secondary
| Measure | Time frame |
|---|---|
| Cardiovascular mortality | 2 years |
| sudden cardiac death | 2 years |
| Total mortality | 2 years |
Countries
Germany