Clinical Guide to Cardiac Autonomic Tests PDF
Preview Clinical Guide to Cardiac Autonomic Tests
CLINICAL GUIDE TO CARDIAC AUTONOMIC TESTS CLINICAL GUIDE TO CARDIAC AUTONOMIC TESTS Edited by MAREK MALIK Department of Cardiological Sciences, St. George's Hospital Medical School, London Springer-Science+B usiness Media, B.V. A C.I.P. Catalogue record for this book is available from the Library ofCongress. ISBN 978-90-481-5071-7 ISBN 978-94-017-1057-2 (eBook) DOI 10.1007/978-94-017-1057-2 Printed on acid-free paper AlI Rights Reserved © 1998 Springer Science+Business Media Dordrecht Originally published by Kluwer Academic Publishers in 1998 No part ofthe material protected by this copyright notice may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without written permission from the copyright owner to Daniel, Natalie, Michal and David CONTENTS List of contributors IX Introduction ..... . xiii PART ONE: PHYSIOLOGY I Physiology of the cardiac autonomic system 3 Roger Hainsworth II Pathophysiology of cardiac autonomic disorders 29 Christopher J Mathias PART Two: AUTONOMIC TESTS III Basic autonomic tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Stefan H Hohnloser, Thomas Klingenheben IV Tilt table testing ..... . ............................ 67 Steve W Parry, Rose Anne Kenny V Autonomic responses to blockades and provocations 101 Laurence Keselbrener, Solange Akselrod VI Short-term measurement of heart rate variability 149 Juha EK Hartikainen. Kari UO Tahvanainen. Tom A Kuusela VII Physiological interpretation of spectral components 177 of heart rate variability Alberto Malliani VIII Long-term measurement of heart rate variability ......... 195 Antti E Hedman, Marek Malik IX Neural recordings in the assessment ........................... 239 of cardiac autonomic balance Nicola Montano, Virend K Somers, Alberto Porta, Massimo Pagani X Assessment of baroreflex sensitivity ............................ 257 Maria Teresa La Rovere, Gian Domenico Pinna, Andrea Mortara Vll Vlll CONTENTS PART THREE: CLINICAL PRACTICE XI Ageing and cardiac autonomic status . 285 Bohvoj Semrad, Bohumil Fiser, Natasa Honzikova XII Concomitant therapy and autonomic tests 301 Xavier Copie, Louis Guize, Jean-Yves Le Heuzey XIII Influence of smoking, alcohol, caffeine ............ 331 and recreational drugs on cardiac autonomic tests Azad V Ghuran, Marek Malik XIV Cardiac autonomic syndromes .............. 357 Roy Freeman XV Clinical perspective 393 Yee Guan Yap, A John Camm Index .. 415 LIST OF CONTRIBUTORS Solange Akselrod Center for Medical Physics, School of Physics, Tel Aviv University, Tel Aviv, Israel A John Camm Department of Cardiological Sciences, St. George's Hospital Medical School, London, United Kingdom Xavier Copie Departement de Cardiologie, Hopital Broussais, Paris, France Bohumil Fiser Department of Physiology, Masaryk University, Brno, Czech Republic Roy Freeman Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA Louis Guize Departement de Cardiologie, Hopital Broussais, Paris, France Azad V Ghuran Department of Cardiology, North Staffordshire City General Hospital, Stoke on Trent, United Kingdom Roger Hainsworth Institute for Cardiovascular Research, University of Leeds, Leeds, United Kingdom Juha EK Hartikainen Department of Medicine, Kuopio University Hospital, Kuopio, Finland Antti E Hedman Department of Medicine, Kuopio University Hospital, Kuopio, Finland Jean-Yves Le Heuzey Departement de Cardiologie, Hopital Broussais, Paris, France IX X LIST OF CONTRIBUTORS Stefan H Hohnloser JW Goethe University, Department of Internal Medicine, Division of Cardiology, Frankfurt am Main, Germany Natasa Honzikova Department of Physiology, Masaryk University, Brno, Czech Republic Rose Anne Kenny Cardiovascular Investigation Unit, Royal Victoria Infirmary, University of Newcastle upon Tyne & Institute for the Health of the Elderly, Newcastle upon Tyne, United Kingdom Laurence Keselbrener Center for Medical Physics, School of Physics, Tel Aviv University, Tel Aviv, Israel Thomas Klingenheben JW Goethe University, Department of Internal Medicine, Division of Cardiology, Frankfurt am Main, Germany Tom A Ku.usela Department of Applied M!lthematics and Department of Physics, Turku University, Turku, Finland Marek Malik Department of Cardiological Sciences, St. George's Hospital Medical School, London, United Kingdom Alberto Malliani Centro Ricerche Cardiovascolari, CNR, Centro LITA-Vialba, Medicina Interna II, Ospedale "L. Sacco", Universita degli Studi, Milano, Italy Christopher J Mathias Neurovascular Medicine Unit, Division of Neuroscience & Psychological Medicine, Imperial College School of Medicine at StMary's & Autonomic Unit, University Department of Clinical Neurology National Hospital for Neurology & Neurosurgery, Queen Square & Institute of Neurology, University College London, London, United Kingdom Nicola Montano Centro Ricerche Cardiovascolari, CNR, Centro LITA-Vialba, Ospedale "L. Sacco", Universita degli Studi, Milano, Italy LIST OF CONTRIBUTORS Xl Andrea Mortara Divisione di Cardiologia, Fondazione "S. Maugeri", IRCCS, Centro Medico Montescano, Pavia, Italy Massimo Pagani Centro Ricerche Cardiovascolari, CNR, Centro LITA-Vialba, Ospedale "L. Sacco", Universita degli Studi, Milano, Italy Steve W Parry Cardiovascular Investigation Unit, Royal Victoria Infirmary, University of Newcastle upon Tyne & Institute for the Health of the Elderly, Newcastle upon Tyne, United Kingdom (presently supported by the British Heart Foundation, London) Gian Domenico Pinna Divisione di Bioingegneria, Fondazione "S. Maugeri", IRCCS, Centro Medico Montescano, Pavia, Italy Alberto Porta Centro Ricerche Cardiovascolari, CNR, Centro LITA-Vialba, Ospedale "L. Sacco", Universita degli Studi, Milano, Italy Maria Teresa La Rovere Divisione di Cardiologia, Fondazione "S. Maugeri", IRCCS, Centro Medico Montescano, Pavia, Italy Bofivoj Semrad First Department of Medicine, University Hospital, Masaryk University, Brno, Czech Republic Virend K Somers Cardiovascular Division, Department of Internal Medicine, University of Iowa, Iowa City, USA Kari UO Tahvanainen Department of Clinical Physiology, Tampere University Hospital, Tampere, Finland Yee Guan Yap Department of Cardiological Sciences, St. George's Hospital Medical School, London, United Kingdom
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