Title Analysis of Cardiovascular Hemodynamic and Autonomic Variables in Individuals with Systemic Arterial Hypertension, Type 2 Diabetes Mellitus, and Parkinson\'s Disease: A Comparative Study.
Author Yuphiwa Ngomane, Awassi; Martins de Abreu, Raphael; Fernandes, Bianca; Roque Marcal, Isabela; Veiga Guimaraes, Guilherme; Gomes Ciolac, Emmanuel
Journal Clin Exp Hypertens Publication Year/Month 2022-Feb
PMID 34875941 PMCID -N/A-
Affiliation + expend 1.Sao Paulo State University (UNESP), School of Sciences, Department of Physical Education, Exercise and Chronic Disease Research Laboratory, Bauru, Brazil.

BACKGROUND: Systemic arterial hypertension (SAH), type 2 diabetes mellitus (T2DM), and Parkinson\'s disease (PD) are highly prevalent chronic diseases that can significantly impact the cardiovascular system. AIM: The aim of this study was to compare hemodynamic and autonomic variables at rest in individuals with SAH, T2DM, or PD. METHODS: Fifty sedentary or insufficiently active individuals (22 men) with SAH (age = 66 +/- 5.0 yr), T2DM (age = 52 +/- 10 yr) or PD (age = 68 +/- 8.0 yr) had their resting blood pressure (BP), arterial stiffness, endothelial function, and heart rate variability (HRV) assessed and compared. RESULTS: Systolic and diastolic BP were higher in SAH (130 +/- 10 / 80 +/- 10 mmHg) than T2DM (110 +/- 14 / 75 +/- 11 mmHg) and PD, and (123 +/- 20 / 70 +/- 11 mmHg) respectively. T2DM individuals showed lower arterial stiffness (8.4 +/- 1.1 m/s), when compared to SAH (10.3 +/- 2.3 m/s) and PD (10.6 +/- 3.0 m/s). T2DM had greater resting tachycardia showed by the mean RR (759 +/- 79 ms), than SAH (962 +/- 169 ms) and PD (976 +/- 134 ms), which was accompanied by higher sympathetic modulation (low frequency [LF]: 62 +/- 19 nu) and lower parasympathetic modulation (high frequency [HF]: 32 +/- 16 nu) when compared to SAH (LF: 40 +/- 16 nu; HF: 61 +/- 33 nu). No differences among groups were found on non-linear HRV markers and endothelial reactivity indexes. CONCLUSIONS: Individuals with T2DM showed impaired levels of cardiac autonomic markers when compared to individuals with SAH and PD, despite of having lower levels of BP and arterial stiffness.

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