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Quantitative Autonomic Testing
Published on: July 19, 2011
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对自主神经系统的临床评估
Jacquie R Baker1, Rashmin Hira2, Jaiden Uppal2
1Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, HRIC Building GAA 14, 3280 Hospital Drive NW, Calgary Alberta, Canada, T2N 4Z6, USA. Electronic address: https://twitter.com/jacquie__baker.
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概括
本综述详细介绍了自主神经系统 (ANS) 功能的标准化临床评估. 它涵盖了自主病史,心血管测试和运动测试,以进行全面的自主评估.
科学领域:
- 临床神经学 临床神经学
- 心血管生理学心血管生理学
- 自主神经科学 自主神经科学
背景情况:
- 自主神经系统 (ANS) 功能障碍会影响多个器官系统.
- 标准化的临床评估对于准确的诊断和管理至关重要.
- 当前的诊断方法需要进行系统和全面的评估.
研究的目的:
- 审查用于评估自主神经系统功能的标准化临床评估.
- 突出自主病史和非侵入性心血管自主测试的重要性.
- 提供关于神经化学和定量的动轴突反射测试的见解.
主要方法:
- 对自主神经系统功能进行标准化临床评估的审查.
- 强调自主病史作为主要诊断工具.
- 专注于非侵入性心血管自主测试:深呼吸,瓦萨尔瓦机动,静止挑战.
- 包括神经化学测试和定量运动轴突反射测试.
- 讨论心血管自主监测 (节拍血压,心电图) 的实际方面.
主要成果:
- 标准化的自主病史是评估的关键第一步.
- 非侵入性心血管自主测试 (对深呼吸的心率反应,Valsalva,静止挑战) 提供了关键的见解.
- 定量上运动轴突反射测试和神经化学测试提供了互补的诊断信息.
- 详细介绍了患者设置和评估协议的实际方面.
- 临床解释指导对上腺,心血管和运动功能的理解.
结论:
- 标准化的临床评估,包括病史和非侵入性测试,对于评估自主功能至关重要.
- 综合自主评估提供了对上腺,心血管和运动功能的洞察.
- 本综述为临床环境中自主测试的实际应用和解释提供了一个框架.
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