Ali je testiranje funkcije avtonomnega živčevja pri vrtoglavih bolnikih koristno = Is testing of autonomic nervous functions in vertigo useful
Grad, Anton, 1954- ; Meglič, Bernard ; Šega, Saša, dr. med., nevrologinja, 1962-
Cardiovascular reflex tests and spectral analysis of heart rate variability were performed on 117 patients referred with vertigo; 31 of them had associated disease in which a disordero the autonomic ...nervous, system could be expected, 86 had isolated vertigo. The results were compared with 91 healthy volunteers. Disorders of the autonomic nervous system were found mainly in vertigo patients with associated diseases, but in patients with isolated vertigo the hyperadrenergic response to the tests was observed. Spectral analysis of heart rate variability showed larger variability in patients with isolated vergtigo, which is also caused by hyperadrenergic response. The head-upright tilt-table test was performed in 52 vertigo patients; the test was positive only in 11,5 % of patients- all test positive patients had a prior episode of syncope. Our results showed that testing of autonomic nervous functions is useful in patients with associated diseases, which may cause disorders of the autonomic nervous system. However, in patients with isolated vertigo the tests are not useful.
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