Diabetes-Associated Changes in the Toe Photoplethysmogram During Local Heating Test.

IF 2.3
Denis Lapitan, Xiaoman Xing, Alexey Glazkov, Ksenia Krasulina, Yulia Kovaleva, Polina Glazkova, Timur Britvin, Sergey Zagarov, Roman Larkov, Dmitry Rogatkin
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Abstract

We investigated changes in the pulse waveform recorded by photoplethysmography (PPG) during a local heating test in patients with diabetes. The following groups of subjects were studied: healthy individuals (n = 15), patients with Type 2 diabetes accompanied by diabetic retinopathy (n = 14), patients with Type 2 diabetes and diabetic foot syndrome (n = 16). Measurements were taken from the big toes of both limbs while the skin was heated from 32°C to 42°C. We found statistically significant changes in PPG waveform after heating between all three groups. The main change is that the dicrotic notch becomes more pronounced during the heating period. This effect is strongest in Group 1, slightly less pronounced in Group 2, and practically absent in Group 3. Thus, monitoring of the PPG waveform during the heating test may be an effective means of assessing microvascular lesions in diabetes.

局部加热试验中脚趾光容积图与糖尿病相关的变化。
我们研究了糖尿病患者在局部加热试验期间光体积脉搏波描记仪(PPG)记录的脉冲波形的变化。研究对象分为健康个体(n = 15)、2型糖尿病合并糖尿病视网膜病变患者(n = 14)、2型糖尿病合并糖尿病足综合征患者(n = 16)。在皮肤从32°C加热到42°C的过程中,测量了四肢的大脚趾。我们发现三组之间加热后PPG波形的变化具有统计学意义。主要的变化是在加热期dicrotic缺口变得更加明显。这种效应在第1组中最强,在第2组中稍弱,而在第3组中几乎没有。因此,在加热试验期间监测PPG波形可能是评估糖尿病微血管病变的有效手段。
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