Frequency of the spectral peak (60-120 mHz) in blood pressure and heart rate in young diabetics

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Authors

FIŠER Bohumil JAVORKA Michal TONHAJZEROVÁ Ingrid JAVORKA Kamil KRTIČKA Antonín ZÁVODNÁ Eva HONZÍKOVÁ Nataša

Year of publication 2010
Type Conference abstract
MU Faculty or unit

Faculty of Medicine

Citation
Description Recently we have found a decreased frequency of the spectral peak (f) in the cross-spectra of systolic blood pressure and heart rate fluctuations (frequency range 60 – 120 mHz) in 14 type 1 young diabetics (age 20-25 years, diabetes duration 10-15 years) in comparison with 14 healthy age-matched controls. This finding was accompanied by a non-significant (p=0.06) decrease of baroreflex sensitivity (BRS). The aim of the study was the evaluation of f and BRS measurement as a diagnostic test of autonomic nervous system impairment in young diabetics. Results: Receiver operation curves (ROC) were calculated for f, BRS, and F(z). F(z) values were calculated from equations F(z)=1/(1+exp(-z)), z=a+b1*BRS+b2*f. ROC of f and ROC of F(z)-values revealed 50% sensitivity with 100% specificity. The results indicate that measurement of f and BRS can reveal subtle impairment of the autonomic nervous system where standard tests failed.
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