International Journal of Physiology
  • Year: 2019
  • Volume: 7
  • Issue: 2

HRV During One Minute Controlled Deep Breathing for Evaluation of Sympatho Vagal Imbalance in Type 1 Diabetes Mellitus Patients

1Associate Professor, Department of Physiology, K.A.P.V. Govt. Medical College, Tiruchirapalli

2Assistant Professor, Department of Physiology, Chengalpet Medical College

3Professor, Department of Physiology, Kilpauk Medical College, Chennai

*Corresponding author: Dr. M. Janet Sugantha, Associate Professor, Department of Physiology, K.A.P.V. Govt. Medical College, Tiruchirapalli, Email id: janet.sugantha@gmail.com

Online published on 20 July, 2019.

Abstract

The Autonomic nervous system is the principle way by which the heart rate can be controlled effectively. The integrity of the autonomic control of the cardiovascular system in diabetic patients can be studied by observing the heart rate variability (HRV)

30 type 1 diabetic patients attending the Diabetology clinic of Stanley Medical College, Chennai and 30 age matched controls were enrolled. Heart rate variability analysis during one minute controlled deep breathing was performed on all the subjects and the results obtained were compared between the groups

HRV analysis in type 1 diabetes mellitus patients show

Significant reduction in SDNN, RMSSD, NN50 and pNN50

Significant reduction of mean RR, HF and HF nu, compared to that of controls

HRV during one minute controlled deep breathing is a simple non invasive test to detect cardiac autonomic neuropathy. Hence HRV db should be recommended as a screening test for diabetes mellitus patients.

Keywords

Type 1 diabetes mellitus, Autonomic neuropathy, heart rate variability, HRV with deep breathing