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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
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Česky / Czech version | Vnitř. Lék., 47, 2001, No. 2, p. 111-114 |
Reversible Long-term Tachycardia and
Hypertension as a Syndrom of the Autonomic Neuropathy in Combination with Sensoromotoric
Polyneuropathy in the Patient with Newly Discovered Insulin Dependent Diabetic Mellitus Charvát J., Kvapil M., Kubátová H., Večeř J. Interní klinika 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Praha - Motol, přednosta doc. MUDr. M. Kvapil, CSc. |
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Summary: The case of 22 years old woman admitted with ketoacidotic coma and newly diagnosed insulin
dependent diabetes mellitus is described. The signs of mixed sensoromotoric polyneuropathia in
this patient have been discovered. After the correction of ketoacidotic hyperglycemic coma the
significant tachycardia and hypertension with the abnormalities of diurnal rhythm with necessity of the intensive treatment persisted for the period of the several monthes. These changes we
attributed to the significant dysfunction of the autonomic system. In the course of l year of good
diabetes compensation the above mentionned hemodynamic changes subsided completely. In the
same time the signs of mixed polyneuropatia and the incipient retinopathia disappeared. The
causes of the described changes are discussed, mainly the importance of reversible microvascular
changes.
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