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CompletedNCT00919347Updated May 28, 2012

The Relative Prevalence and Severity of Autonomic Nervous System Dysfunction

An observational study in Cardiovascular Autonomic Neuropathy, Diabetic Autonomic Neuropathy and Autonomic Dysfunction, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to participants aged 19 Years to 70 Years. Per ClinicalTrials.gov, last updated 2012-05-28.

Sponsored by University of Alabama at Birmingham · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
100
Ages
19 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to measure the prevalence and severity of cardiac autonomic neuropathy (CAN), diabetic autonomic neuropathy (DAN) which in non-diabetics is termed advanced nervous system (ANS) dysfunction, and autonomic dysfunction as well as the overall sympathovagal balance (SB) in the CEFH population of diabetic patients versus non-diabetic patients undergoing elective vitreoretinal surgery.

Read the detailed description

The purpose of this study is to measure the prevalence and severity of cardiac autonomic neuropathy (CAN), diabetic autonomic neuropathy (DAN) which in non-diabetics is termed advanced nervous system (ANS) dysfunction, and autonomic dysfunction as well as the overall sympathovagal balance (SB) in the CEFH population of diabetic patients versus non-diabetic patients undergoing elective vitreoretinal surgery.

02

Conditions studied

  • Cardiovascular Autonomic Neuropathy
  • Diabetic Autonomic Neuropathy
  • Autonomic Dysfunction

Keywords

  • Cardiovascular Autonomic Neuropathy
  • Diabetic Autonomic Neuropathy
  • Autonomic Dysfunction
03

In context

Peripheral Nervous System Diseases

1,003 studies on the registry are indexed under Peripheral Nervous System Diseases; 177 are open to participants now.

This study's planned enrollment of 100 is above the median of 90 across 188 observational studies indexed under Peripheral Nervous System Diseases.

Browse Peripheral Nervous System Diseases studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,396 studies on the registry; 284 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 124 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of patiented from the Callahan Eye Foundation.

Inclusion criteria

  • Type I and Type II Diabetic patients 19 or older who are scheduled for elective surgery to improve vision impaired by diabetic retinopathy
  • Patients scheduled during the same time period without diabetes for retinal surgery will serve as an age and gender matched reference group to undergo the non-invasive ANS testing on the day of surgery

Exclusion criteria

Exclusion Criteria:

  • Inability to stand will only do baseline, deep breathing and Valsalva portions (A-D) of the testing as described in section 8.1
  • Patients with syncope on standing will only do portions A-D of the test
  • Inability to cooperate with deep breathing and Valsalva
  • Tracheoscopy or otherwise not able to perform a Valsalva
  • Not desiring to participate after informed consent
  • Known history of idiopathic dysautonomia
  • Pulmonary difficulties associated with hyperventilation, including acute URI
  • Pacemaker dependent
  • Persistently high intraocular pressure despite treatment
  • Atrial fibrillation
  • Ventricular arrhythmias greater than 10 beats per minute
  • Taking MAO inhibitors
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
100 participants (estimated)

Interventions

  • OtherANSAR ANX 3.0 Software

    Three values are calculated by the ANSAR ANX 3.0® software of the spectral analysis of HRV and respiration: 1. RFa an indicator of parasympathetic function with normal values between 0.5 and 10 bpm2; 2. LFa an indicator of sympathetic function also with normal values between 0.5 and 10 bpm2; 3. SB or the ratio of LFa/RFa with normal reference values of 0.4 to 3.0. The ANSAR ANX 3.0® software defines three different levels of autonomic neuropathy (autonomic dysfunction) as follows (see Figure 1): * Cardiovascular Autonomic Neuropathy (CAN): resting parasympathetic insufficiency (not enough parasympathetic protection for the heart) or RFa \< 0.1 bpm2. * Diabetic Autonomic Neuropathy (DAN), or advanced autonomic dysfunction in non-diabetics, is defined as low autonomics: LFa \< 0.5 bpm2 or 0.1 \< RFa \< 0.5 bpm2. * Autonomic Dysfunction: normal resting LFa and RFa, but low LFa response to Valsalva or low RFa response to deep breathing.

06

What researchers measure

Primary outcomes

  1. The primary outcome will be to quantify, using the ANSR ANX 3.0 technology, the prevalence of cardiac autonomic neuropathy (CAN), diabetic autonomic neuropathy (DAN),referred to as advanced autonomic nervous system dysfunction in non-diabetic patients.

    Time frame: 15 minutes

Secondary outcomes

  1. The strength of various comorbidities as predictors of autonomic dysfunction in both diabetics and non-diabetics will be evaluated. The differential effect of these various comorbidities in Type I versus Type II diabetes on ANS dysfunction and neuropathy

    Time frame: 15 minutes

07

Study locations

1 site
  • Callahan Eye Foundation Hospital
    Birmingham, Alabama 35233, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00919347
Lead sponsor
University of Alabama at Birmingham
Responsible party
Gwendolyn L. Boyd, MD (Principal Investigator, University of Alabama at Birmingham) — Principal investigator
First posted
Jun 12, 2009
Start date
Jun 2009
Primary completion
May 2010
Completion
May 2010
Last update
May 28, 2012

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2012. You cannot join it, but the record below documents what was studied.

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