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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Diabetologia 21 (1981), S. 525-528 
    ISSN: 1432-0428
    Keywords: Diabetic neuropathy ; diabetic retinopathy ; R-R intervals ; sinus arrhythmia ; glycosylated haemoglobin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Cardiac autonomic function was assessed by an on-line microcomputer technique in 67 patients with diabetic retinopathy. Sixteen patients had a resting tachycardia (92 beats/min or greater). R-R interval variations were abnormally low in 29 patients at rest, in 35 during deep breathing and in four in response to a Valsalva manoeuvre. The severity of retinopathy correlated significantly with the degree of autonomic dysfunction assessed by the interval variations at rest (p 〈 0.05), during deep breathing (p 〈 0.01), and with the Valsalva manoeuvre (p 〈 0.01). The results emphasise the important association between diabetic retinopathy and cardiac autonomic dysfunction.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1041
    Keywords: pupillometry ; light reflex ; atropine ; nortryptyline ; procyclidine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary Single oral doses of atropine, nortriptyline, procyclidine and lactose dummy were administered double-blind to eight healthy young subjects in a balanced, crossover study. Television pupillometry was used to measure the anticholinergic effects of these drugs on the pupil diameter in darkness and the reflex response to light flashes. The sensitivity of this method was compared with conventional autonomic function tests, viz. salivary secretion, radial pulse, forearm sweat gland activity and distance to visual near point. Visual analogue scales were used to obtain subjective measures of sedative drug effects. The expected inhibition of parasympathetic activity was found in most instances with two exceptions: firstly, that nortriptyline failed to affect the pupil despite causing a tachycardia and secondly, that procyclidine gave a bradycardia. The results are discussed with reference to the possible advantages of television pupillometry over conventional pupil measurement in the detection of anticholinergic drug effects.
    Type of Medium: Electronic Resource
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