Main description:

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.

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