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High blood pressure and decreased heart rate variability in the Cuban epidemic neuropathy
  1. J Gutierrez1,
  2. R Santiesteban1,
  3. H Garcia1,
  4. A Voustianiouk3,
  5. R Freeman2,
  6. H Kaufmann3
  1. 1Instituto de Neurología y Neurocirugía, Havana, Cuba
  2. 2Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
  3. 3Department of Neurology, Mount Sinai School of Medicine, New York, NY, USA
  1. Correspondence to:
 Dr H Kaufmann, Mount Sinai School of Medicine, New York, NY 10029, USA;
 Horacio.Kaufmann{at}mssm.edu

Abstract

Autonomic cardiovascular reflexes were investigated in patients with an epidemic optic and peripheral neuropathy, which affected more than 50 000 people in Cuba between 1991 and 1994 and was probably caused by nutritional deficiency. Affected patients had significantly higher blood pressure than age matched controls, both while supine and standing, and significantly lower heart rate variability during paced breathing, suggesting reduced cardiac parasympathetic innervation.

  • Cuban epidemic neuropathy
  • hypertension
  • heart rate variability
  • autonomic

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