[PDF] Autonomic Testing eBook

Author : Peter Novak MD, PhD
Publisher : Oxford University Press
Page : 352 pages
File Size : 44,1 MB
Release : 2019-02-25
Category : Medical
ISBN : 0190889241

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DDisorders associated with dysfunction of the autonomic nervous system are quite common yet frequently unrecognized. The quantitative autonomic testing presented here can be invaluable tool for evaluation of these disorders. This manual fills a gap in the literature and deals mainly with practical aspects of autonomic testing. In accord with the "good picture is worth a thousand words" mantra, signal drawings are heavy used throughout the text to facilitate the readers' knowledge. Autonomic Testing is the optimal guide for autonomic fellows, residents in neurology, general medicine and other specialties or for everybody that is interested in performing and interpreting autonomic tests. The unique aspect of this book is the use of the skin biopsies for assessment of small autonomic and sensory fibers as a routine part of autonomic testing. Another important feature of this book is the use of continuous cerebral blood flow velocity and end tidal CO2 monitoring in addition to standard heart rate and blood pressure recordings during the testing. Comprised of 100 unique case studies, each case solves a particular clinical question. The presented cases include neurally mediated syncope, psychogenic pseudosyncope, orthostatic intolerance syndromes, autonomic failure, variety of small fiber neuropathies (with and without autoimmunity), autonomic dysfunction in neurodegenerative and hypermobile disorders.

Author : M. Malik
Publisher : Springer Science & Business Media
Page : 450 pages
File Size : 32,61 MB
Release : 2013-04-17
Category : Medical
ISBN : 9401710570

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Following systematic development of technical aspects and physiological understanding, and clinical applicability of cardiac autonomic testing, this book provides a detailed guide to performing individual autonomic tests in both research and clinical settings. The book is structured in three parts covering the physiological background of cardiac autonomic regulations, description of technology and interpretation of individual autonomic tests, and applicability of the individual tests under various clinical circumstances and in defined populations of patients. The book is intended to serve both research and clinical cardiologists as well as research and clinical specialists of other medical fields who use the assessment of cardiac modulations to investigate the autonomic nervous system.

Author : Msm Kelly Freeman
Publisher : Bardolf
Page : 224 pages
File Size : 30,68 MB
Release : 2015-10-05
Category : Medical
ISBN : 9781938842245

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"The Dysautonomia Project" is a much needed tool for physicians, patients, or caregivers looking to arm themselves with the power of knowledge. It combines current publications from leaders in the field of autonomic disorders with explanations for doctors and patients about the signs and symptoms, which will aid in reducing the six-year lead time to diagnosis.

Author : Joseph Colombo
Publisher : Springer
Page : 456 pages
File Size : 15,89 MB
Release : 2014-09-22
Category : Medical
ISBN : 3319073710

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This book presents the concepts underlying the measurement of parasympathetic and sympathetic (P&S) activity in the autonomic nervous system and the application of these measurements in the development of therapeutic guidelines for treating dysfunctions in these processes. It provides an overview of the anatomy, physiology, and biochemistry of the autonomic nervous system; details general clinical applications of P&S monitoring that are independent of specialty or disease; presents the pathophysiology of P&S dysfunction in specific disorders, expected test results, therapeutic options, and expected outcomes; and includes case studies and longitudinal studies that demonstrate the major concepts for the common diseases for which P&S monitoring is recommended. Clinical Autonomic Dysfunction enables clinicians to improve patient outcomes by identifying and treating clinical problems related to autonomic nervous system disorders.

Author : Eduardo E. Benarroch
Publisher : Oxford University Press
Page : 314 pages
File Size : 18,14 MB
Release : 2014-04-03
Category : Medical
ISBN : 0199920206

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The purpose of this book is to present a focused approach to the pathophysiology, diagnosis, and management of the most common autonomic disorders that may present to the clinical neurologist. Autonomic Neurology is divided into 3 sections. The first section includes 5 chapters reviewing the anatomical and biochemical mechanisms of central and peripheral nervous system control of autonomic function, principles of autonomic pharmacology, and a clinical and laboratory approach to the diagnosis of autonomic disorders. The second section focuses on the pathophysiology and management of orthostatic hypotension, postural tachycardia, baroreflex failure; syncope, disorders of sweating, neurogenic bladder and sexual dysfunction, gastrointestinal dysmotility, and autonomic hyperactivity. The final section is devoted to specific autonomic disorders, including central neurodegenerative disorders; common peripheral neuropathies with prominent autonomic failure; painful small fiber neuropathies; autoimmune autonomic ganglionopathies and neuropathies; focal brain disorders; focal spinal cord disorders; and chronic pain disorders with autonomic manifestations. This book is the product of the extensive experience of its contributors in the evaluation and management of the many patients with autonomic symptoms who are referred for neurologic consultation at Mayo Clinic in Rochester, Minnesota. Autonomic Neurology focuses on clinical scenarios and presentation of clinical cases and includes several figures showing the results of normal and abnormal autonomic testing in typical conditions. Its abundance of tables summarizing the differential diagnosis, testing, and management of autonomic disorders also help set this book apart from other books focused on the autonomic nervous system.

Author : Peter Novak
Publisher : Oxford University Press, USA
Page : 528 pages
File Size : 42,46 MB
Release : 2019
Category : Medical
ISBN : 9780190889227

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Autonomic Testing is the optimal guide for autonomic fellows, residents in neurology, general medicine and other specialties or for everybody that is interested in performing and interpreting autonomic tests. The unique aspect of this book is the use of the skin biopsies for assessment of small autonomic and sensory fibers as a routine part of autonomic testing. Another important feature of this book is the use of continuous cerebral blood flow velocity andend tidal CO2 monitoring in addition to standard heart rate and blood pressure recordings during the testing. Comprised of 100 unique case studies, each case solves a particular clinical question.

Author : Alan B. Ettinger
Publisher : Cambridge University Press
Page : 693 pages
File Size : 24,42 MB
Release : 2014-04-17
Category : Medical
ISBN : 1107014557

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Unique case-based guide to generating diagnostic possibilities based on the patients' symptoms. Invaluable for psychiatrists and neurologists.

Author : Walter Struhal
Publisher : Springer
Page : 148 pages
File Size : 19,62 MB
Release : 2017-06-19
Category : Medical
ISBN : 3319051431

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This book is a guide to the everyday clinical management of disorders of the autonomic nervous system, from identification of the key symptoms of autonomic involvement and comprehensive history taking to choice of treatment. The book will assist the reader in determining the anatomic distribution of the disease, as well as underlying autonomic syndromes, and in transforming the clinical picture into a coherent explanation of the patient’s autonomic problem. In addition, guidelines are provided on selection of the most appropriate autonomic and laboratory tests and formulation of appropriate non-pharmacological and pharmacological management strategies. With cases drawn from clinical experience and a list of available online resources, Bedside Approach to Autonomic Disorders will aid the reader in acquiring the skills that are mandatory in order to put patients on the right clinical track. It will be a valuable guide for trainees and young doctors interested in autonomic disorders from the fields of neurology, internal medicine, cardiology, diabetology, and urology.

Author : Roy Freeman
Publisher : Elsevier Inc. Chapters
Page : 60 pages
File Size : 31,11 MB
Release : 2013-08-17
Category : Medical
ISBN : 0128078383

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Autonomic testing is used to define the role of the autonomic nervous system in diverse clinical and research settings. Because most of the autonomic nervous system is inaccessible to direct physiological testing, in the clinical setting the most widely used techniques entail the assessment of an end-organ response to a physiological provocation. The noninvasive measures of cardiovascular parasympathetic function involve the assessment of heart rate variability while the measures of cardiovascular sympathetic function assess the blood pressure response to physiological stimuli. Tilt-table testing, with or without pharmacological provocation, has become an important tool in the assessment of a predisposition to neurally mediated (vasovagal) syncope, the postural tachycardia syndrome, and orthostatic hypotension. Distal, postganglionic, sympathetic cholinergic (sudomotor) function may be evaluated by provoking axon reflex mediated sweating, e.g., the quantitative sudomotor axon reflex (QSART) or the quantitative direct and indirect axon reflex (QDIRT). The thermoregulatory sweat test provides a nonlocalizing measure of global pre- and postganglionic sudomotor function. Frequency domain analyses of heart rate and blood pressure variability, microneurography, and baroreflex assessment are currently research tools but may find a place in the clinical assessment of autonomic function in the future.