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.
Autorentext
Joseph Colombo, PhD
Department of Cardiology
Drexel University College of Medicine
Philadelphia, PA, USA
ANSAR Medical Technologies, Inc.
Philadelphia, PA, USA
Rohit Arora, MD, FACC, FAHA, FACP, FSCAI
Department of Medicine
Captain James A. Lovell Federal Health Care Center
Department of Cardiology
The Chicago Medical School
North Chicago, IL, USA
Nicholas L. DePace, MD, FACC
Department of Cardiology
Hahnemann Hospital
Drexel University College of Medicine
Philadelphia, PA, USA
Aaron I. Vinik, MD, PhD, FCP, MACP
Department of Medicine
Neuroendocrine Unit
Eastern Virginia Medical School,
Strelitz Diabetes Research Center
Norfolk, VA, USAInhalt
Introduction to Parasympathetic and Sympathetic Monitoring.- History of Parasympathetic and Sympathetic Monitoring.- Drawbacks of Heart Rate Variability Analysis and Application of Parasympathetic and Sympathetic Monitoring.- Validation and General Evaluation of Parasympathetic and Sympathetic Monitoring.- Autonomic (Parasympathetic and Sympathetic) Assessment.- Parasympathetic and Sympathetic Testing.- Interpreting Parasympathetic and Sympathetic Results.- Possible Therapy Options.- Cardiovascular Autonomic Neuropathy: Risk Factor or Risk Indicator.- Normal Data.- Medical Specialties' View of Autonomic System Measurements.- The Progression of Autonomic Dysfunction in Chronic Disease.- Autonomic Dysfunction versus Neuropathy.- General Autonomic Disorders.- Geriatrics.- Depression.- Gastroenterology.- Arrhythmia.- Heart Diseases.- Hypertension.- Diabetes.- Other Diseases in Endocrinology.- Dizziness.- Pain Management.- Sleep.- General Neurology.- Pulmonology.- Pediatrics.- Critical Care.- Sample Case Studies.- Example of Longitudinal Studies.- Summary: General Applications of Parasympathetic and Sympathetic Monitoring.