Orthostatic response in patients with type 2 diabetes mellitus evaluated through acceleration photoplethysmogram

Palabras clave: ortostatismo, índices de la segunda derivada del fotopletismograma, diabetes tipo 2, rigidez arterial

Resumen

Introducción: Una de las complicaciones de la diabetes mellitus es la disfunción circulatoria arterial. El coeficiente 30:15 es uno de los índices ortostáticos que se emplean para diagnosticar alteraciones circulatorias en diabéticos con evolución prolongada. Por otra parte, se emplean índices de la segunda derivada del fotopletismograma (SDPPG) o fotopletismograma por aceleración para caracterizar cambios patológicos de la función arterial. Objetivo: Comparar la respuesta cardiovascular a la bipedestación activa de sujetos sanos versus diabéticos tipo 2 mediante los índices de la SDPPG. Métodos: Se tomaron registros fotopletismográficosdigitales (PPG) en sujetos sanos (n = 15, edad ± DE, 44.6 ± 7.2 años) y sujetos diabéticos tipo 2 (n = 15, edad ± DE, 48.3 ± 7.9 años). . Se calcularon los coeficientes 30:15, los índices b/a, d/a y SDPPG-IE en cada participante, basados en los componentes de la onda del SDPPG y se compararon en el período basal y a los segundos 15 y 30. Resultados: Los coeficientes 30:15 de ambos grupos no mostraron diferencias significativas. Respecto a los índices SDPPG, no se observaron diferencias significativas entre los dos grupos en el periodo basal. Sin embargo, d/a disminuyó y SDPPG-IE aumentó, ambos en el latido 30 y de manera significativa después del ortostatismo activo en el grupo de sujetos no diabéticos. Los valores de los índices SDPPG en el grupo de diabéticos tipo 2 no mostraron cambios significativos. Conclusión: Los resultados sugieren que los índices de la SDPPG pueden ser usados para detectar de manera temprana disfunciones vasculares en diabéticos tipo 2.

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Publicado
2021-08-06
Cómo citar
Rivas-Vilchis, J., & Barrera-Escorcia, E. (2021). Orthostatic response in patients with type 2 diabetes mellitus evaluated through acceleration photoplethysmogram. Proceedings of Scientific Research Universidad Anáhuac, 1(2), 5-10. https://doi.org/https://doi.org/10.36105/psrua.2021v1n2.01
Sección
Original Research