Clinical Autonomic Dysfunction


COLOMBO et al.
Clinical Autonomic Dysfunction Measurement, Indications, Therapies, and Outcomes
452 Seiten, 1. Auflage, 2015
231 Abbildungen
Presents the concepts underlying the measurement of parasympathetic and sympathetic activity in the autonomic nervous system and the application of these measurements in the development of therapeutic guidelines for treating dysfunctions in these processes Focuses on the pathophysiology of parasympathetic and sympathetic dysfunction for specific disorders, expected test results, possible therapy options to clinically treat the specific dysfunction, and expected outcomes Includes case studies for select common diseases for which parasympathetic and sympathetic monitoring is recommended and self-assessment questions 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. Table of Contents Part I - Introduction and History of Autonomic Nervous System Monitoring 1 Introduction to Parasympathetic and Sympathetic Monitoring 2 History of Parasympathetic and Sympathetic Monitoring 3 Drawbacks of Heart Rate Variability Analysis and Application of Parasympathetic and Sympathetic Monitoring Part II - Validation and General Evaluation of the Autonomic Nervous System 4 Validation and General Evaluation of Parasympathetic and Sympathetic Monitoring 5 Autonomic (Parasympathetic and Sympathetic) Assessment 6 Parasympathetic and Sympathetic Testing 7 Interpreting Parasympathetic and Sympathetic Results 8 Possible Therapy Options 9 Cardiovascular Autonomic Neuropathy: Risk Factor or Risk Indicator 10 Normal Data 11 Medical Specialties’ View of Autonomic System Measurements Part III - Assessment and Management of the Parasympathetic and Sympathetic Nervous Systems 12 The Progression of Autonomic Dysfunction in Chronic Disease 13 Autonomic Dysfunction versus Neuropathy 14 General Autonomic Disorders Part IV - Internal Medicine 15 Geriatrics 16 Depression 17 Gastroenterology Part V - Cardiology 18 Arrhythmia 19 Heart Diseases 20 Hypertension Part VI - Endocrinology 21 Diabetes 22 Other Diseases in Endocrinology Part VII - Neurology 23 Dizziness 24 Pain Management 25 Sleep 26 General Neurology Part VIII - Other Chronic Care Specialties 27 Pulmonology 28 Pediatrics Part IX - Critical Care Part X - Sample Studies 30 Sample Case Studies 31 Example of Longitudinal Studies Part XI - Why Autonomic (Parasympathetic and Sympathetic) Assessment? 32 Summary: General Applications of Parasympathetic and Sympathetic Monitoring Appendix A Autonomic Therapy Options Appendix B Other Disease States Appendix C Augmentative Testing Appendix D Recommended Therapy Options Appendix E Self-Assessment Questions and Answers

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