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The British Journal of Diabetes & Vascular Disease
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Review: Diabetic autonomic dysfunction: adverse effects on presentation, management and outcomes of acute coronary syndromes

Mrin Saha

Chest Hospital, Bonner Road, London, E2 9JX, UK

Adam D Timmis

Chest Hospital, Bonner Road, London, E2 9JX, UK, timmis{at}lch.demon.co.uk

n acute coronary syndromes there is increasing speculation that autonomic dysfunction complicating diabetes may adversely affect outcomes. Mechanisms are unclear but the potential effects on the timing of plaque events, the mode of presentation, myocardial oxygen demand and arrhythmogenesis are discussed in this article.

Key Words: diabetes • acute coronary syndromes • autonomic neuropathy.

The British Journal of Diabetes & Vascular Disease, Vol. 5, No. 5, 260-264 (2005)
DOI: 10.1177/14746514050050050401
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