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Clinical Autonomic Research

, Volume 27, Issue 4, pp 223–233 | Cite as

The autonomic medical history

  • David S. Goldstein
  • William P. CheshireJr
Review

Abstract

The most important autonomic function test—the autonomic medical history—is the patient’s account, interpreted by a clinician skilled in asking the right questions, of symptoms during daily activities that relate to the autonomic nervous system. The chronology and pattern of these symptoms combine to create a portrait of autonomic function or dysfunction. We summarize the steps in obtaining a comprehensive autonomic medical history.

Keywords

Autonomic Sympathetic Parasympathetic Noradrenergic Cholinergic 

Abbreviations

AAG

Autoimmune autonomic ganglionopathy

ANS

Autonomic nervous system

COI

Chronic orthostatic intolerance

EDS

Ehlers–Danlos syndrome

ENS

Enteric nervous system

EPI

Epinephrine

HPI

History of the present illness

HSAN

Hereditary sensory and autonomic neuropathy

MSA

Multiple system atrophy

NE

Norepinephrine

OH

Orthostatic hypotension

OI

Orthostatic intolerance

PAF

Pure autonomic failure

PNS

Parasympathetic nervous system

POTS

Postural tachycardia syndrome

ROS

Review of systems

SAS

Sympathetic adrenergic system

SCS

Sympathetic cholinergic system

SNS

Sympathetic noradrenergic system

Notes

Compliance with ethical standards

Conflict of interest

The authors state that there is no conflict of interest.

Funding

The research reported here was supported by the Division of Intramural Research, National Institute of Neurological Disorders and Stroke (NINDS), National Institutes of Health (NIH).

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Copyright information

© Springer-Verlag Berlin Heidelberg (Outside the USA) 2017

Authors and Affiliations

  1. 1.Clinical Neurocardiology Section, Clinical Neurosciences Program, Division of Intramural ResearchNational Institute of Neurological Disorders and Stroke, National Institutes of HealthBethesdaUSA
  2. 2.Department of NeurologyMayo ClinicJacksonvilleUSA

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