case_images: PMC3921998_01
case_images: ECG showing anterolateral ST elevation.
case_images: edmcr-2013-130058-g001.jpg
case_images: PMC3921998_01_edmcr-2013-130058-g001.jpg
case_images: fig1
case_images: After his physician review was complete, an electrocardiogram (ECG) was performed as part of his routine annual assessment (Fig. 1).
case_images: Absent heart rate response to controlled deep breathing (six breaths per minute). Event mark: recording during controlled deep breathing.
case_images: edmcr-2013-130058-g002.jpg
case_images: PMC3921998_01_edmcr-2013-130058-g002.jpg
case_images: fig2
case_images: This is consistent with a diagnosis of autonomic neuropathy (Figs 2, 3 and 4).
case_images: Diminished heart rate response to phases II and IV of Valsalva manoeuvre. Event mark: the beginning of the test.
case_images: edmcr-2013-130058-g003.jpg
case_images: PMC3921998_01_edmcr-2013-130058-g003.jpg
case_images: fig3
case_images: This is consistent with a diagnosis of autonomic neuropathy (Figs 2, 3 and 4).
case_images: Absent heart rate response to tilting up on tilt table test at 1 min. Note absent postural drop with absent reflex tachycardia. Event mark: the beginning of tilting up.
case_images: edmcr-2013-130058-g004.jpg
case_images: PMC3921998_01_edmcr-2013-130058-g004.jpg
case_images: fig4
case_images: This is consistent with a diagnosis of autonomic neuropathy (Figs 2, 3 and 4).