Why do diabetics get silent myocardial infarctions?

Why do diabetics get silent myocardial infarctions? I assume this is essentially a neuropathy around the pericardium but would the patient normally also have associated neuropathy in their lower limbs etc?

Authored By James Cluxtall on Tuesday 14th January 2014

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Robert Jackson
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Medical Student - Leicester
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Posted over 5 years ago

I don't think the phenomenon is entirely understood:

"There could be several explanations for the different patterns of symptoms in patients with diabetes mellitus, including different thresholds of pain sensitivity, psychological den

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Nadia 'Noodle' Dullaghan
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Medical Student - Peninsula
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Posted over 5 years ago

As said above, is thought to be due to autonomic neuropathy (silent MIs are also seen in elderly patients potentially for same reason.

This article gives a good brief overview of the neuropathies associated with diabetes. According to this ther

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