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020 _a9783030541651
024 7 _a10.1007/978-3-030-54165-1
_2doi
040 _bspa
_cES-MaUEC
_dES-MaUEC
050 4 _aRC685.T33
_b2021 EB
245 0 0 _aPostural Tachycardia Syndrome :
_bA Concise and Practical Guide to Management and Associated Conditions
_cedited by Nicholas Gall, Lesley Kavi, Melvin D. Lobo
250 _a1st edition 2021
264 1 _aCham
_bSpringer International Publishing
_c2021
300 _a1 recurso en línea (X, 332 páginas)
_b28 ilustraciones, 25 ilustraciones a color
336 _2rdacontent
_aTexto
_btxt
337 _2rdamedia
_aelectrónico
_bc
338 _2rdacarrier
_arecurso electrónico
_bcr
347 _aarchivo de texto
_bPDF
505 0 _aPart 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
520 3 _aThis 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.
988 _aSpringer_Medicine_2021
650 7 _2embne
_9169667
_aCorazón
_xEnfermedades
700 1 _aGall, Nicholas
_eeditor literario
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
700 1 _aKavi, Lesley
_eeditor literario
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
700 1 _aLobo, Melvin D.
_eeditor literario
_4edt
_4http://id.loc.gov/vocabulary/relators/edt
776 0 8 _iPrinted edition:
_z9783030541644
776 0 8 _iPrinted edition:
_z9783030541668
776 0 8 _iPrinted edition:
_z9783030541675
856 4 0 _uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://doi.org/10.1007/978-3-030-54165-1
_zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
942 _2lcc
_cLE
998 _b10/2022
_dz
_eb
_zSI