{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T07:47:48Z","timestamp":1759564068995},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T00:00:00Z","timestamp":1247097600000},"content-version":"unspecified","delay-in-days":6644,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[1991,5]]},"abstract":"<jats:title>SYNOPSIS<\/jats:title><jats:p>A comparative study of diabetics with autonomic neuropathy (<jats:italic>N<\/jats:italic> = 13) as against non-neuropathic diabetics (<jats:italic>N<\/jats:italic> = 16) and healthy control persons (<jats:italic>N<\/jats:italic> = 20) was carried out with respect to heart rate both at rest and under stress, frequency of cardiac arrhythmias in a 24-h ECG and accuracy of heartbeat and arrhythmia perception. In the subjects with diabetic autonomic neuropathy, the spontaneous variability and stress-induced reactivity of the heart rate as well as the number of tachycardic episodes were reduced, whereas the frequency of ventricular extrasystoles was somewhat increased. Impaired heartbeat perception and a complete loss of perception of arrhythmias as a consequence of neuropathic deafferentation could be demonstrated. Cardiac perception disorders also play a vital role in other clinical problems, e.g. silent myocardial infarction and lack of awareness of hypoglycaemia in diabetes mellitus.<\/jats:p>","DOI":"10.1017\/s0033291700020523","type":"journal-article","created":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T10:17:05Z","timestamp":1247134625000},"page":"413-421","source":"Crossref","is-referenced-by-count":29,"title":["Heartbeat and arrhythmia perception in diabetic autonomic 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