Clinical Autonomic Dysfunction. Measurement, Indications, Therapies, and Outcomes

ABOUT THIS BOOK

• 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.

Content Level » Professional/practitioner
Keywords » autonomic nervous system in chronic and critical care - autonomous nervous system - parasympathetic and sympathetic activity - parasympathetic and sympathetic dysfunction
Related subjects » Cardiology & Angiology - Internal Medicine – Neurology

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

• 29 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

AUTHORS & EDITORS

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, USA