Kardiovaskuläre Folgen der diabetischen Neuropathie

Die kardiovaskuläre autonome diabetische Neuropathie ist eine häufige Diabeteskomplikation mit schwerwiegenden Folgen: Sie führt zu einer ausgeprägten orthostatischen Hypotonie und erhöht das Mortalitätsrisiko auf etwa das Dreifache. Dennoch bleibt sie vor allem im Frühstadium oft unerkannt oder wird unzureichend abgeklärt. Dieser Beitrag beleuchtet ihre Symptomatik, aktuelle Diagnostik und Therapie mit dem Ziel der Prävention fortgeschrittener Stadien.

• Literatur

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