Franke G R, Panzram G
Z Gesamte Inn Med. 1985 Jun 15;40(12):365-9.
In 30 diabetics and 30 patients with healthy metabolism who anamnestically, clinically and electrocardiographically did not show any references to a coronary heart disease the systolic time intervals and contractility indices of the carotid pulse curve were determined in lying position as well as under passive and active orthostasis load. Diabetics with a microangiopathy already under conditions of rest showed a tendency to pathological values. Unequivocal deviations were to be registered under conditions of the tilting table, particularly when the values obtained under orthostasis are related to the measuring data in rest. The restricted cardiac regulation breadth of diabetics with microangiopathy is particularly expressed in a compared with the control groups clearly reduced reaction of the presphygmic phase, the time of pressure increase as well as the quotients PEP/LVET, LVET/ICT and PEPstanding/PEPlying.
对30名糖尿病患者和30名代谢健康的患者进行了研究，这些患者在既往史、临床和心电图方面均未显示有任何冠心病的迹象。在卧位以及被动和主动直立负荷状态下，测定了他们颈动脉脉搏曲线的收缩期时间间隔和收缩性指标。患有微血管病变的糖尿病患者在静息状态下就已显示出向病理值发展的趋势。在倾斜试验条件下可记录到明确的偏差，尤其是当直立状态下获得的值与静息时的测量数据相关时。与对照组相比，患有微血管病变的糖尿病患者心脏调节幅度受限，尤其表现为预脉搏波期、压力上升时间以及PEP/LVET、LVET/ICT和站立位PEP/卧位PEP商数的反应明显降低。
