A Case of Severe Advanced Diabetic Cardiac Autonomic Neuropathy: Severe Orthostatic Hypotension Complicated With Episodes of Nocturnal Supine Hypertensive Emergency Episodes
2024

Severe Advanced Diabetic Cardiac Autonomic Neuropathy Case Study

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Myint Nyan

Primary Institution: Meharry Medical College, Nashville, USA

Hypothesis

How can severe advanced diabetic cardiac autonomic neuropathy and its complications be effectively managed?

Conclusion

The management of severe advanced diabetic cardiac autonomic neuropathy requires a careful balance of pharmacological and non-pharmacological strategies to control both orthostatic hypotension and nocturnal supine hypertension.

Supporting Evidence

  • Diabetic cardiac autonomic neuropathy can lead to severe complications like orthostatic hypotension.
  • The patient had a history of recurrent falls and syncope due to autonomic failure.
  • Management strategies included both pharmacological and non-pharmacological approaches.

Takeaway

This study is about a 55-year-old man with diabetes who had serious blood pressure problems when standing up and at night. Doctors worked hard to help him feel better and keep him safe.

Methodology

Case study of a 55-year-old male patient with severe advanced diabetic cardiac autonomic neuropathy, focusing on his symptoms, management, and treatment outcomes.

Limitations

The study is based on a single case, which may limit the generalizability of the findings.

Participant Demographics

55-year-old male with a history of insulin-dependent type 2 diabetes, dyslipidemia, and coronary artery disease.

Digital Object Identifier (DOI)

10.7759/cureus.75153

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