Acta Diabetologica

, Volume 56, Issue 5, pp 601–602 | Cite as

Diagnosis of cardiovascular autonomic neuropathy in diabetes: as simple as possible, but not simpler?

  • K. PafiliEmail author
  • N. Papanas
Letter to the Editor


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights disclosure

This article does not contain any studies with human or animal subjects performed by any of the authors.

Informed consent

For this type of study formal consent is not required.


  1. 1.
    Bellavere F, Ragazzi E, Chilelli NC, Lapolla A, Bax G (2018) Autonomic testing: which value for each cardiovascular test? An observational study. Acta Diabetol. CrossRefPubMedGoogle Scholar
  2. 2.
    Pafili K, Trypsianis G, Papazoglou D, Maltezos E, Papanas N (2015) Simplified diagnosis of cardiovascular autonomic neuropathy in type 2 diabetes using Ewing’s battery. Rev Diabet Stud 12(1–2):213–219CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    May O, Arildsen H (2011) Long-term predictive power of simple function tests for cardiovascular autonomic neuropathy in diabetes: a population-based study. Acta Diabetol 48(4):311–316CrossRefPubMedGoogle Scholar
  4. 4.
    Stranieri A, Abawajy J, Kelarev A, Huda S, Chowdhury M, Jelinek HF (2013) An approach for Ewing test selection to support the clinical assessment of cardiac autonomic neuropathy. Artif Intell Med 58(3):185–193CrossRefPubMedGoogle Scholar
  5. 5.
    Körei AE, Kempler M, Istenes I, Vági OE, Putz Z, Horváth VJ et al (2017) Why not to use the handgrip test in the assessment of cardiovascular autonomic neuropathy among patients with diabetes mellitus? Curr Vasc Pharmacol 15(1):66–73CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2019

Authors and Affiliations

  1. 1.Diabetes Clinic Centre, Second Department of Internal MedicineDemocritus University of Thrace, University Hospital of AlexandroupolisAlexandroupolisGreece

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