Tilt Table Test
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Handbook of Cardiac Electrophysiology
The first practical, user-friendly guide to the theory and practice of a routinely used technique, this new manual provides the specialist in training with a thorough grounding in the equipment, procedures, and clinical findings with which clinicians need to be familiar.Conceived as an alternative to the large and expensive texts aimed at specialis
Orthostatic Hypotension in Older Adults
This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, α-1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. “Orthostatic Hypotension in Older Adults” will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.
Autonomic Testing
Author: Peter Novak MD, PhD
language: en
Publisher: Oxford University Press
Release Date: 2019-02-25
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.