Abstract

We thank Dr. Humpert et al. (1) for their interest in our study (2). The authors present data that support the presence of left ventricular (LV) asynchrony in patients with type 2 diabetes in association with cardiovascular autonomic dysfunction (CAN) and LV function. The authors divided their type 2 diabetic cohort into three groups based on tertiles of expiration-to-inspiration ratio of heart rate variability. Interestingly, although they found a decrease in LV ejection fraction with decreasing autonomic function, there …

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