Orthostatic Hypotension in Older Adults

Orthostatic Hypotension in Older Adults PDF Author: Ahmet Turan Isik
Publisher: Springer Nature
ISBN: 3030624935
Category : Medical
Languages : en
Pages : 146

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Book Description
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.

The ESC Textbook of Cardiovascular Medicine

The ESC Textbook of Cardiovascular Medicine PDF Author: A. John Camm
Publisher:
ISBN: 9780198824879
Category : Cardiology
Languages : en
Pages : 3198

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Book Description


Orthostatic Hypotension

Orthostatic Hypotension PDF Author: Irwin J. Schatz
Publisher: Davis Publications
ISBN:
Category : Medical
Languages : en
Pages : 172

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Book Description


Hypotensive Syndromes in Geriatric Patients

Hypotensive Syndromes in Geriatric Patients PDF Author: Kannayiram Alagiakrishnan
Publisher: Springer Nature
ISBN: 3030303322
Category : Medical
Languages : en
Pages : 200

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Book Description
As the Baby Boomers age, concerns over healthcare systems abilities to accommodate geriatric patients grow increasingly challenging. The increased life expectancy of the population since the early 1900s had been built on the improvement of living conditions, diet, public health and advancement in medical care. With this we have seen a steady decline in the age-specific prevalence of vascular and heart diseases, stroke and even dementia. In addition, societies worldwide struggle to develop a large enough workforce to treat aging patients, which forces geriatric patients to rely on physicians in a wide array of specialties that are often not trained for their demographic. These trends have created a tremendous need for trustworthy resources, yet with regard to hypotensive syndromes, nothing of this nature exists. Hypotensive syndromes represent a heterogenous group of disease states. Hypotensive syndromes are characterized by low blood pressure following postural changes, meals and neck turning. These are common conditions seen in the elderly and could be due to blood pressure dysregulation. These syndromes frequently cause dizziness, syncope and falls in the elderly as well as a resultant decrease in function, and they are frequently mistaken for other conditions. This is especially true among physicians who are not trained to consider the unique needs of an aging patient. The proposed book is designed to present a comprehensive approach to the management of hypotensive syndromes in the elderly. Currently there are no guidelines or good resource to guide about these conditions. This book will also discuss the challenges of diagnosis and management of these conditions. The text introduces the concepts to set a clear foundation before covering the syndromes as they present in other comorbidities, including diabetes, heart failure, and a wide array of serious conditions that are common in older patients. As the Baby Boomers continue to age, this text will prove a vital resource for a wide array of specialties that will be increasingly critical to meeting their needs.

Autonomic Testing

Autonomic Testing PDF Author: Peter Novak MD, PhD
Publisher: Oxford University Press
ISBN: 0190889241
Category : Medical
Languages : en
Pages : 352

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Book Description
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.

Clinical Methods

Clinical Methods PDF Author: Henry Kenneth Walker
Publisher: Butterworth-Heinemann
ISBN:
Category : Medical
Languages : en
Pages : 1128

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Book Description
A guide to the techniques and analysis of clinical data. Each of the seventeen sections begins with a drawing and biographical sketch of a seminal contributor to the discipline. After an introduction and historical survey of clinical methods, the next fifteen sections are organized by body system. Each contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR

Autonomic Failure

Autonomic Failure PDF Author: C. J. Mathias
Publisher: Oxford University Press, USA
ISBN: 9780192628510
Category : Medical
Languages : en
Pages : 562

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Book Description
This fourth edition of Autonomic Failure (now available in paperback) covers the many recent advances made in our understanding of the autonomic nervous system. There are 20 new chapters and extensive revisions of all other contributions. Autonomic failure, fourth edition makes diagnosis increasingly precise by fully evaluating the underlying anatomical and functional deficits, thereby allowing more effective treatment. This new edition continues to provide practitioners from a variety of fields, including neurology, cardiology, geriatric medicine, diabetology, and internal medicine, with a rational guide to aid in the recognition and management of autonomic disorders. The book starts with an updated classification of autonomic disorders and a history of the autonomic nervous system. The first two sections of the book deal with the fundamental aspects of autonomic structure, function, and integration. There are new chapters dealing with neurobiology, nerve growth factors, genetic mutations, neural and hormonal control of the cerebral circulation, innervation of the lung, and pathophysiological mechanisms causing nausea and vomiting. Advances in the clinical management of autonomic disorders are critically dependent on the bridge made between the basic and applied sciences.

Syncope

Syncope PDF Author: Michele Brignole
Publisher: Springer Science & Business Media
ISBN: 0857292013
Category : Medical
Languages : en
Pages : 344

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Book Description
Syncope represents a multidisciplinary issue in medicine, often involving cardiologists, neurologists, emergency medicine specialists, general practitioners , geriatricians and other clinicians. However, terminology, methodology and guidelines differ making the issue more complex. The Editors of this book present a thorough multidisciplinary review of the topic. Guideline-based, they have assembled a team of key opinion leaders in the study and management of syncope. The first section of the book discusses the scientific basis behind the diagnosis and management of syncope going into detail regarding the pathways leading to syncope symptoms and the pathology behind them. The second section of the book then takes a more practical approach defining the practice of syncope management and including a number of case histories explaining the pearls and pitfalls of the current guidelines.

Orthostatic Hypotension Causes, Tests, and Treatment Options

Orthostatic Hypotension Causes, Tests, and Treatment Options PDF Author: J. M. Parker
Publisher: CreateSpace
ISBN: 9781475296884
Category : Health & Fitness
Languages : en
Pages : 94

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Book Description
Simply put, orthostatic is an upright posture while hypotension is having low blood pressure. Orthostatic hypotension is disorder in which a sudden decrease in blood pressure occurs when you quickly assume a standing position. The disorder can be caused by a variety of underlying diseases and dozens of different medications. Several treatment options are available. This concise book outlines the causes, available tests and treatment options for the disorder.

The Dysautonomia Project

The Dysautonomia Project PDF Author: Msm Kelly Freeman
Publisher: Bardolf
ISBN: 9781938842245
Category : Medical
Languages : en
Pages : 224

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Book Description
"The Dysautonomia Project" is a much needed tool for physicians, patients, or caregivers looking to arm themselves with the power of knowledge. It combines current publications from leaders in the field of autonomic disorders with explanations for doctors and patients about the signs and symptoms, which will aid in reducing the six-year lead time to diagnosis.