Reply to Morton. Heart-rate responses to exercise in patients with diabetes with acute or chronic autonomic dysfunction

Sacre, J. W., Jellis, C. L., Coombes, J. S. and Marwick, T. H. (2013) Reply to Morton. Heart-rate responses to exercise in patients with diabetes with acute or chronic autonomic dysfunction. Diabetic Medicine, 30 8: 1010-1011. doi:10.1111/dme.12178


Author Sacre, J. W.
Jellis, C. L.
Coombes, J. S.
Marwick, T. H.
Title Reply to Morton. Heart-rate responses to exercise in patients with diabetes with acute or chronic autonomic dysfunction
Journal name Diabetic Medicine   Check publisher's open access policy
ISSN 0742-3071
1464-5491
Publication date 2013-08-01
Sub-type Letter to editor, brief commentary or brief communication
DOI 10.1111/dme.12178
Volume 30
Issue 8
Start page 1010
End page 1011
Total pages 2
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2014
Language eng
Formatted abstract
We thank Dr Morton for his interest in our paper on the utility of post-exercise heart-rate recovery for cardiac autonomic neuropathy assessment and for elucidating this interesting case study highlighting the related issue of chronotropism. Slower heart-rate recovery in patients with vs. without cardiac autonomic neuropathy in our study coincided with (but was still independent of) a blunted heartrate response to exercise. The significance of this relative chronotropic incompetence is highlighted by its associations with adverse outcomes and exercise intolerance.

Morton’s case provides a compelling argument that hypoglycaemia triggers acute chronotropic incompetence in patients with diabetes...
Keyword Counterregulatory responses
Neuropathy
Hypoglycemia
Failure
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Letter to editor, brief commentary or brief communication
Collections: Non HERDC
School of Medicine Publications
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