Investigation and treatment of autonomic circulatory failure.
Investigation and treatment of patients suffering from autonomic circulatory failure should be based on the application of knowledge of basic physiology to the problem of a particular patient. For an overall evaluation of cardiovascular autonomic dysfunction, an analysis of the heart rate and blood pressure responses to standing usually is sufficient. Instruction in physical maneuvers such as squatting and leg crossing should be part of the treatment programs to reduce disabilities from orthostatic hypotension in patients with circulatory autonomic failure.
Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
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Wieling
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van Lieshout
D001341:Autonomic Nervous System / Q000187:drug effects / Q000503:physiopathology; D001342:Autonomic Nervous System Diseases / Q000503:physiopathology* / Q000628:therapy; D001794:Blood Pressure / Q000187:drug effects / Q000502:physiology; D005081:Exercise Therapy; D005438:Fludrocortisone / Q000008:administration & dosage; D006339:Heart Rate / Q000187:drug effects / Q000502:physiology; D006801:Humans; D007024:Hypotension, Orthostatic / Q000503:physiopathology* / Q000628:therapy; D009460:Neurologic Examination; D011187:Posture / Q000502:physiology
D005438:Fludrocortisone