Rinsho Shinkeigaku
Online ISSN : 1882-0654
Print ISSN : 0009-918X
ISSN-L : 0009-918X
<Symposium 8> Assessment of Autonomic Dysfunction in Autonomic Disorders
The evaluation of autonomic nervous function by assessing baroreceptor reflex
Toshimasa Yamamoto
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2014 Volume 54 Issue 12 Pages 1034-1037

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Abstract
The autonomic nervous functional tests assessing baroreceptor reflex (BR) were described. I. Head-up tilt test: Sympathetic nervous function is activated and alginine-vasopressin is secreted through the BR. Orthostatic hypotension is induced by BR dysfunction. II. Spectral analysis of heart and blood pressure: High-frequency power in R-R interval variability indicates parasympathetic function and low-frequency power may reflect BR function. Low-frequency power in blood pressure may indicate sympathetic nervous function. However, spectral analysis of them can not detect a sympathetic nervous hyperfunction. III. Baroreceptor sensitivity during the Valsalva maneuver: Baroreceptor sensitivity is obtained from the correlation of systolic blood pressure and RR interval. It decreases in early stage of Parkinson’s disease. IV. Correlation of heart rate and blood pressure: The correlation of them may reflect qualitative differences in the central autonomic dysfunction.
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© 2014 Societas Neurologica Japonica
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