Campbell I W, Ewing D J, Clarke B F
Acta Diabetol Lat. 1978 May-Aug;15(3-4):201-4. doi: 10.1007/BF02581065.
Two cases are reported of painful myocardial infarction in diabetics with severe autonomic neuropathy confirmed by abnormal autonomic function tests. Painless myocardial infarction in diabetics has traditionally been attributed to damage of cardiac pain fibres by autonomic neuropathy but other factors such as microangiopathy in the myocardium may be responsible. It may simply be that diabetics come into hospital more often for other reasons and a silent myocardial infarction diagnosed incidentally.
报告了两例糖尿病患者发生疼痛性心肌梗死的病例，这些患者经自主神经功能测试异常确诊患有严重自主神经病变。传统上，糖尿病患者的无痛性心肌梗死被归因于自主神经病变对心脏痛觉纤维的损害，但其他因素如心肌微血管病变也可能是原因所在。也有可能仅仅是糖尿病患者因其他原因更频繁地入院，从而偶然诊断出无症状心肌梗死。
