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Postural Tachycardia Syndrome A Concise and Practical Guide to Management and Associated Conditions [electronic resource]
Gall, Nicholas
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| 자료유형 | 단행본 |
|---|---|
| 개인저자 | Gall, Nicholas.,editor. Kavi, Lesley.,editor. Lobo, Melvin D.,editor. |
| 단체저자명 | SpringerLink (Online service). |
| 서명/저자사항 | Postural Tachycardia Syndrome [electronic resource] : A Concise and Practical Guide to Management and Associated Conditions / edited by Nicholas Gall, Lesley Kavi, Melvin D. Lobo. |
| 판사항 | 1st ed. 2021. |
| 형태사항 | X, 332 p. 28 illus., 25 illus. in color:online resource. |
| 기본자료 저록 | Springer Nature eBook |
| 기타형태 저록 | Printed edition:9783030541644Printed edition:9783030541668Printed edition:9783030541675 |
| ISBN | 9783030541651 |
| 기타표준부호 | 10.1007/978-3-030-54165-1 |
| 내용주기 | Part I - Introduction -- POTS – an introduction -- What is it? -- Historical background -- Clinical presentation -- Specialties where patients may be seen -- Part II - Speciality Assessment -- Cardiological and neurological considerations -- Diagnostic criteria (not just a heart rate issue) -- Pathophysiology and classification -- Tests to consider, are they useful, what do they show -- Cardiological – CPET, echo, holter etc.-Neurological – MRI, nerve conduction studies -- Autonomic -- The simple active stand / tilt -- Full autonomic function tests -- Red flag symptoms -- Cardiology -- Neurology – MS, myopathy, epilepsy -- Overlap conditions (mitral valve prolapse, IST) -- Associated neurological conditions -- Migraine -- Sleep disturbance -- Part III - Associated Conditions -- Rheumatology -- Overlap with hypermobility conditions -- New consensus guidance on hypermobility -- When to consider serious hypermobility -- When to consider other inflammatory arthritides -- Overlap with fibromyalgia and CRPS -- Practical joint management including therapies -- Endocrinology -- What tests should we do to exclude an endocrine driver -- How can we recognise and treat the symptoms of reactive hypoglycaemia -- When do we need to consider referral to endocrinology -- Gastrointestinal manifestations -- Symptoms and causes -- What tests to do to exclude alternative conditions -- Simple and safe treatments that might help -- When to refer to the gastro’ clinic -- What treatment is instituted in the specialist clinic? -- Urology / Urogynaecology -- Potential symptoms -- When to consider referral? -- Investigations to consider -- Treatments -- Association with Histamine abnormalities -- Mast cell activation -- What is it? -- When does one consider it? -- What tests to do to define its presence? -- Can we treat it empirically without immunology review -- When to refer -- Audiovestibular medicine -- Recognising vertiginous contributions (migraine variant balance disorder) -- When to refer and what to expect -- Part IV - Relevant Diagnostic Considerations -- Potential alternative causes -- Metabolic issues -- Lyme disease -- Chronic Fatigue syndrome -- Part V - Therapy -- Treatment -- Non-pharmacological – salt, fluid, compression -- Non-pharmacological – exercise -- Pharmacological – when and how to use it -- Midodrine -- Ivabradine -- Betablockers -- Fludrocortisone -- Octreotide -- Pyridostigmine -- Clonidine -- Others e.g. desmopressin, EPO, SSRI, IV fluid -- Assessing benefit -- Part VI - Relevant Therapeutic Associations -- Obstetrics / Gynaecology -- Are there links with endometriosis and PCOS? -- Who should be referred and when? -- Implications for pregnancy and its management -- Pelvic floor issues -- Anaesthetic management -- Anaesthetic considerations in POTS / EDS -- Respiratory medicine -- Hyperventilation is common – why and how to recognise it; why does it occur -- What clinical findings / tests can exclude other conditions -- When to refer to respiratory physio’ -- What management can help hyperventilation -- When to consider respiratory medicine review -- Psychological contributors -- Functional symptoms -- Stress responses -- When to involve a psychologist / psychiatrist -- CBT and other therapies -- Part VII - Service Models -- Primary Care -- When to consider referral -- Pointers in the surgery to the diagnosis -- Tests to do first -- Challenges of referral -- Shared-care arrangements -- POTS clinics -- UK models of care KCH, NHNN, Sheffield, Newcastle, William Harvey, Royal Brompton, St Mary’s, Poole -- Can you set up your own autonomic tests and how do you do it? -- Nursing aspects -- Developing a nurse led clinic -- Nurse-led follow-up -- Patient aspects -- POTS-UK / STARS -- EDS UK / International HMSA. . |
| 요약 | This book describes the varying clinical manifestations of postural tachycardia syndrome (PoTS) and provides a robust yet practical set of clinical tools for those managing patients suffering with this syndrome. Guidance is provided by a range of disciplines relevant to PoTS including general and specialist assessments, associated conditions, diagnostic considerations, therapy and service models. Postural Tachycardia Syndrome: A Concise and Practical Guide to Management and Associated Conditions presents the scientific background and practical information for the busy medical professional, illustrating key features with care-based materials to help them manage this condition, which can be a challenge for patients and clinicians alike. |
| 일반주제명 | Cardiology. Neurology . Rheumatology. Cardiology. Neurology. Rheumatology. |
| 바로가기 | URL |