December 2023

Autonomic Nervous System Monitoring: Failed Clinical Utility

As the title may suggest the use of ANS monitoring may not lead to accurate clinical diagnosis and treatment for many ailments. What is missing from this title is the fact that without measuring the Parasympathetic nervous system in total and independently, a correct diagnosis would not be provided. This problem exists in the industry […]

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Routine Measurements of Cardiac Parasympathetic and Sympathetic Nervous Systems Assists in Primary and Secondary Risk Stratification and Management of Cardiovascular Clinic Patients

Objective To review our studies of the ease and importance of Parasympathetic and Sympathetic (P&S) measures in managing cardiovascular patients. Background The autonomic nervous system is responsible for the development or progression of Hypertension (HTN), orthostasis, Coronary Disease (CAD), Congestive Heart Failure (CHF) and arrhythmias. Finally, new technology provides us with rapid, accurate P and

Routine Measurements of Cardiac Parasympathetic and Sympathetic Nervous Systems Assists in Primary and Secondary Risk Stratification and Management of Cardiovascular Clinic Patients Read More »

Non-Invasive Monitoring Of The Autonomic Nervous System And Hemodynamics Of Patients With Blunt And Penetrating Trauma

ABSTRACT BACKGROUND To describe early effects of sympathetic (SNS) and parasympathetic nervous system (PSNS) activities measured by heart rate (HR) and respiratory rate variabilities simultaneously with noninvasive hemodynamic patterns in patients with blunt and penetrating trauma. METHODS Descriptive study of 168 monitored trauma patients in a level I university-run trauma service. We studied HR and

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Differential Effects of Adrenergic Antagonists (Carvedilol vs. Metoprolol) on Parasympathetic and Sympathetic Activity: A Comparison of Measures 1 of 2

BACKGROUND  Cardiovascular autonomic neuropathy (CAN) is recognized as a significant health risk. Specific and sensitive measures of CAN are needed for early identification and treatment to avoid complications, preferably in the preclinical state.  OBJECTIVES  In this first of two articles, the patient cohort is described and two measures of autonomic function are reviewed: the traditional

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Improved Patient Outcomes By Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads To Improved Outcomes

Abstract Syncope is difficult to definitively diagnose, even with tilt-table testing and beat-to-beat blood pressure measurements, the gold-standard. Both are qualitative, subjective assessments. There are subtypes of syncope associated with autonomic conditions for which tilt-table testing is not useful. Heart rate variability analyses also include too much ambiguity. Three subtypes of syncope are differentiated: vasovagal

Improved Patient Outcomes By Normalizing Sympathovagal Balance: Differentiating Syncope—Precise Subtype Differentiation Leads To Improved Outcomes Read More »

Cardiac Autonomic Testing And Treating Heart Disease. “A Clinical Perspective” 2 Of 2

Abstract Background Coronary heart disease (CHD) is a major health concern, affecting nearly half the middle-age population and responsible for nearly one-third of all deaths. Clinicians have several major responsibilities beyond diagnosing CHD, such as risk stratification of patients for major adverse cardiac events (MACE) and treating risks, as well as the patient. This second

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Cardiac Autonomic Testing And Diagnosing Heart Disease. “A Clinical Perspective” 1 Of 2

Abstract Background Coronary heart disease (CHD) is a major health concern, affecting nearly half the middle-age population and responsible for nearly one-third of all deaths. Clinicians have responsibilities beyond diagnosing CHD, including risk stratification of patients for major adverse cardiac events (MACE), modifying the risks and treating the patient. In this first of a two-part

Cardiac Autonomic Testing And Diagnosing Heart Disease. “A Clinical Perspective” 1 Of 2 Read More »

Routine Measurements Of Cardiac Parasympathetic And Sympathetic Nervous Systems Assists In Primary And Secondary Risk Stratification And Management Of Cardiovascular Clinic Patients

Abstract Objective To review our studies of the ease and importance of Parasympathetic and Sympathetic (P&S) measures in managing cardiovascular patients. Background The autonomic nervous system is responsible for the development or progression of Hypertension (HTN), orthostasis, Coronary Disease (CAD), Congestive Heart Failure (CHF) and arrhythmias. Finally, new technology provides us with rapid, accurate P

Routine Measurements Of Cardiac Parasympathetic And Sympathetic Nervous Systems Assists In Primary And Secondary Risk Stratification And Management Of Cardiovascular Clinic Patients Read More »

Noninvasive Monitoring Of The Autonomic Nervous System And Hemodynamics Of Patients With Blunt And Penetrating Trauma

ABSTRACT BACKGROUND To describe early effects of sympathetic (SNS) and parasympathetic nervous system (PSNS) activities measured by heart rate (HR) and respiratory rate variabilities simultaneously with noninvasive hemodynamic patterns in patients with blunt and penetrating trauma. METHODS Descriptive study of 168 monitored trauma patients in a level I university-run trauma service. We studied HR and

Noninvasive Monitoring Of The Autonomic Nervous System And Hemodynamics Of Patients With Blunt And Penetrating Trauma Read More »

The Importance of ALA in Maintaining Antioxidant Balance

Oxidative stress is a process whereby, Free Radicals that are produced by the body, cause injury to the tissues themselves; especially one of the most important organelles in the cell. The organelle that produces energy: The Mitochondria. Oxidation is the process of burning, think of fire, or rusting, think of iron. While oxygen is very

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