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Vasomotor Instability


Presentation

  • The technique presented warrants further evaluation in a larger series of patients.[ncbi.nlm.nih.gov]
  • This conference was convened in September 1997 to consider how menopausal breast cancer survivors should be treated at the present time and what future studies are needed to develop improved therapeutic strategies.[ncbi.nlm.nih.gov]
  • More than 80 of the world's foremost authorities provide comprehensive coverage of all bone and joint injuries, thoroughly discuss alternative methods for treating each injury, and present their own preferred methods.[books.google.com]
  • We present two infants with 22q11DS, who had profound hypotension after uncomplicated surgeries for congenital heart disease.[ncbi.nlm.nih.gov]
  • Optic neuropathy with pallor is often present. Systemic Features: Vasomotor instability and sensory neuropathy are among the outstanding signs in familial dysautonomia.[disorders.eyes.arizona.edu]
Aspiration
  • Publication Type: Journal Article Source: Child's Nervous System, Volume 28, Number 11, p.1835-1836 (2012) URL: Keywords: Arnold Chiari malformation, Arnold-Chiari Malformation, aspiration pneumonia, Blood pressure, case report, child, controlled study[amrita.edu]
Hypertension
  • BACKGROUND: Central hypoventilation and paroxysmal hypertension are uncommon complications of medullary infarction. To our knowledge, the combination of these autonomic complications of medullary stroke has not previously been reported.[ncbi.nlm.nih.gov]
  • Emotional or physical stress can precipitate dysautonomic crises with nausea, vomiting, agitation, tachycardia, and hypertension. Physical growth may be slow and scoliosis is common. Patients are susceptible to self-injury.[disorders.eyes.arizona.edu]
  • […] p.1835-1836 (2012) URL: Keywords: Arnold Chiari malformation, Arnold-Chiari Malformation, aspiration pneumonia, Blood pressure, case report, child, controlled study, decompression surgery, disease association, female, foramen magnum, human, Humans, hypertension[amrita.edu]
  • This is what may be giving me the lability in blood pressure - where it shoots up with standing - though technically I guess I don't have orthostatic hypertension.[dinet.org]
  • A host of other vascular problems in these patients, such as tortuous carotid arteries, Raynaud's phenomenon, unexplained hypotension, hypertension, and hypothermia, raise the possibility that there may be abnormal autonomic regulation of the vascular[ncbi.nlm.nih.gov]
Hypotension
  • On autopsy, no abnormalities were found that could explain the hypotension. We hypothesize that these infants died of severe hypotension due to abnormal vascular tone and that this is a variable feature in individuals with 22q11 deletion.[ncbi.nlm.nih.gov]
  • Episodic hypertension alternating with hypotension, hyperhidrosis, cyclic vomiting, and skin blotching are common. Deep tendon reflexes are often diminished or absent and there is a general indifference to pain and temperature.[disorders.eyes.arizona.edu]
  • Moderate hypotension is also common in these individuals. Unless one chooses to interpret such findings as organic there is no evidence of organic cardiovascular disease.[vlib.us]
  • POTS can be diagnosed in the presence of chronic symptoms of orthostatic intolerance (of at least 6 months) accompanied by an increase in heart rate of at least 30 beats per minute within 10 minutes of standing without orthostatic hypotension and in the[mededmasters.com]
Tachycardia
  • Emotional or physical stress can precipitate dysautonomic crises with nausea, vomiting, agitation, tachycardia, and hypertension. Physical growth may be slow and scoliosis is common. Patients are susceptible to self-injury.[disorders.eyes.arizona.edu]
  • Cardiac origins of the postural orthostatic tachycardia syndrome. J Am Coll Cardiol. 2010;55:2858-2868. Raj SR. Clinician Update: Postural Tachycardia Syndrome (POTS). Circulation . 2013;127:2336-2342. Schondorf R, Low PA.[mededmasters.com]
  • […] chronotropic I45.89 ICD-10-CM Diagnosis Code I45.89 Other specified conduction disorders 2016 2017 2018 2019 Billable/Specific Code Applicable To Atrioventricular [AV] dissociation Interference dissociation Isorhythmic dissociation Nonparoxysmal AV nodal tachycardia[icd10data.com]
Orthostatic Hypotension
  • POTS can be diagnosed in the presence of chronic symptoms of orthostatic intolerance (of at least 6 months) accompanied by an increase in heart rate of at least 30 beats per minute within 10 minutes of standing without orthostatic hypotension and in the[mededmasters.com]
Left Ventricular Dysfunction
  • RECENT FINDINGS: Relationships have begun to be established between markers of reduced baroreflex sensitivity and abnormal cardiovascular structure, such as left ventricular dysfunction, left ventricular hypertrophy and arterial stiffness.[ncbi.nlm.nih.gov]
Decreased Lacrimation
  • Dysautonomia, Familial Clinical Characteristics Ocular Features: Decreased lacrimation is the major ocular feature in this syndrome and it may be sufficiently severe to result in corneal damage.[disorders.eyes.arizona.edu]
Flushing
  • Vasomotor instability is more commonly termed " hot flushes " or " hot flashes ." The frequency, severity, or diurnal variation with which hot flushes occur can result in significant disruptions of sleep and daytime function.[rrnursingschool.biz]
  • The dependent side of the skin becomes flushed (erythematous) and the uppermost side becomes pale. If the infant is turned to the other side, the appearance of the skin reverses. It is proposed that this condition results from vasomotor instability.[myfertilityguide.biz]
  • ), Feeling of hot flushes, Flash hot, Flush hot, Hot flushes NOS, Hot flushes menopausal, Hot flushes, menopausal, Menopause flushing, Hot Flashes [Disease/Finding], hot flushes, flushed hot, Hot flushes;menopausal, hot flush menopausal symptom, flushing[fpnotebook.com]
  • Hot flushes are due to vasomotor instability and are usually related to the female menopause. Aetiology Hot flushes are thought to be related to changes in central nervous system neurotransmitters and peripheral vascular reactivity.[patient.info]
  • The warmth and redness associated with flushing is caused by vasodilation, allowing excess blood flow, and by engorgement of the subpapillary venous plexus. 2 Flushing without sweating is typically seen in children and is likely due to circulating vasodilator[mdedge.com]
Increased Sweating
  • Signs and symptoms Figure 2 This diagram shows how a nerve injury may cause a “short circuit” in the nervous system resulting in sympathetic over activity in the hand with burning pain, swelling, and increased sweating.[davidlnelson.md]
Dysautonomia
  • A brief report describes 4 sibs with a clinical picture similar to familial dysautonomia with a mutation in DST (6p12.1).[disorders.eyes.arizona.edu]
  • So to me it does sound like dysautonomia ... but yet my autonomic nervous system proves to be intact and all with the 3 basic tests.... So it's a tricky and delicate thing to discern I guess...[dinet.org]
  • Further studies on this topic would establish or refute the association between 22q11DS and dysautonomia.[ncbi.nlm.nih.gov]
  • Timothy Cordez realized that I had the form of dysautonomia known as POTS. A month later, as my mother and I were trying to find out more about POTS, we stumbled across DYNA.[dynainc.org]
  • Autonomic issues include the following, and may present or worsen together with significant trigger factors such as heat or excessive activity, inadequate calorie or fluid intake, or with generalized fatigue: Vascular dysautonomia with lability in heart[mitoaction.org]
Agitation
  • : Following a right lateral medullary infarction, an otherwise stable 70-year-old woman developed recurrent episodes of apnea (PCO2), 100 mm Hg), blood pressure instability (systolic blood pressure, 200 to 100 mm Hg), and mental status changes (from agitation[ncbi.nlm.nih.gov]
  • Emotional or physical stress can precipitate dysautonomic crises with nausea, vomiting, agitation, tachycardia, and hypertension. Physical growth may be slow and scoliosis is common. Patients are susceptible to self-injury.[disorders.eyes.arizona.edu]
Vertigo
  • Throughout the year, my symptoms such as orthostatic intolerance, blacking out, and vertigo-like dizziness became worse, but I brushed it off as being tired from swimming so much.[dynainc.org]

Workup

Ventricular Hypertrophy
  • RECENT FINDINGS: Relationships have begun to be established between markers of reduced baroreflex sensitivity and abnormal cardiovascular structure, such as left ventricular dysfunction, left ventricular hypertrophy and arterial stiffness.[ncbi.nlm.nih.gov]
Left Ventricular Hypertrophy
  • RECENT FINDINGS: Relationships have begun to be established between markers of reduced baroreflex sensitivity and abnormal cardiovascular structure, such as left ventricular dysfunction, left ventricular hypertrophy and arterial stiffness.[ncbi.nlm.nih.gov]

Treatment

  • This fourth part focuses on the treatment of urogenital atrophy, vasomotor instability, sleep disorders, and other related symptoms.[ncbi.nlm.nih.gov]
  • Treatment was given via a closed nitrous oxide system for intervals of 60 to 75 seconds. Anatomic sites treated included the medial aspect of the pterygopalatine fossa, posterior inferior middle turbinate, and posterior superior inferior turbinate.[ncbi.nlm.nih.gov]
  • Other hormonal treatment-related symptoms also improved with pregaba- lin therapy.[slideshare.net]
  • The field of gender-specific medicine examines how normal human biology and physiology differ between men and women and how the diagnosis and treatment of disease differs as a function of gender.[books.google.com]
  • Abstract This article describes a novel transdermal estradiol spray developed for the treatment of menopausal vasomotor instability.[ncbi.nlm.nih.gov]

Prognosis

  • The prognosis is good if the CRPS is diagnosed early and treated aggressively. The confusing nature of the condition and it causes as well as its variable presentation often leads to a delayed diagnosis. It is not easy to either diagnose or treat.[davidlnelson.md]

Etiology

  • PART IV 273 The Problem of Bleeding in Cancer 285 The Problem of Infection in Cancer 307 The Problem of Mucositis in Cancer 328 Neurologic Disturbances Gail M Wilkes rnc msn anp aocn 344 Spinal Cord Compression 350 Increased Intracranial Pressure 358 Etiology[books.google.com]
  • Etiology The etiology of rosacea is unknown, though certain exacerbating factors undoubtedly have a role in predisposed individuals. 3,4 Emotions such as anger, anxiety, and embarrassment can lead to flushing.[mdedge.com]
  • POTS is not a disease, but a syndrome that may have varied etiologies. Neuropathic POTS and Central Hyperadrenergic POTS both involve some form of dysautonomia, and many have high plasma norepinephrine levels.[mededmasters.com]

Epidemiology

  • Thus major advances in headache epidemiology may be expected to occur when migraine is defined by a laboratory finding'. ‏[books.google.com]
  • The epidemiologic relationship of clinical nasal allergy to eosinophils and to goblet cells in the nasal smear. Journal of Allergy , 43 : 1. PubMed CrossRef Google Scholar 15. Parrot, J. L. (1938).[link.springer.com]
  • Epidemiology Rosacea in childhood is most likely underreported because of its clinical similarity to other erythematous facial disorders. 1 Rosacea is generally thought of as a disease of fair-skinned, young to middle-aged adults, though it has been noted[mdedge.com]
  • Epidemiology Reported prevalence varies greatly between studies. These symptoms are experienced by around 80% of menopausal women [ 1 ].[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • Vasomotor instability during haemodialysis has traditionally been identified as a pathophysiological state largely due to the failure of compensatory mechanisms during ultrafiltration.[ncbi.nlm.nih.gov]
  • […] decompression surgery, disease association, female, foramen magnum, human, Humans, hypertension, incidental finding, infant, letter, male, medulla oblongata, meningomyelocele, neurogenic vasomotor instability, newborn, nuclear magnetic resonance imaging, pathophysiology[amrita.edu]
  • The Second Edition of Principles of Gender-Specific Medicine focuses on the essentials of gender-specific medicine and the current study of sex and gender differences in human physiology and pathophysiology.[books.google.com]
  • It offers a complete overview of anatomy, physiology, pharmacology, and pathophysiology, and offers practical coverage of equipment and anesthesia management.[books.google.ro]
  • […] only one parent of each patient was examined and half of the parents clinically diagnosed with rosacea reported no familial involvement. 8 A family history of perioral dermatitis also may be important, as this condition may be related to rosacea. 9 Pathophysiology[mdedge.com]

Prevention

  • Placement of a phrenic nerve pacemaker can prevent these complications, without the functional limitations imposed by continuous mechanical ventilation.[ncbi.nlm.nih.gov]
  • […] gender-specific features and quantifies "gender" and "sex" as risk factors across all major diseases Qualifies and analyzes the results of new drug therapies designed with gender-specific differences in mind: ex, hormone therapy in men and women for the prevention[books.google.com]
  • Themoregulation and heat loss prevention after birth and during neonatal intensive-care unit stabilization of extremely-low-birth weight infants. J Obstet Gynecol Neonatal Nurs 2007;36:280-7. 3. Buetow K, Klein S.[jcnonweb.com]
  • – to prevent osteoporosis & sarcopenia[shethhospital.com]
  • […] or contraindication to other options) CSM recommendation: prevention of osteoporosis and menopausal symptoms in premature menopause (up to the age of natural menopause,51) •Majority of request for HRT are for symptom relief - primary indication for use[quizlet.com]

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