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How many of your patients are in need of autonomic testing?

About 9% of the population may harbor an autonomic disorder requiring medical attention, or about 30 million people in the U.S. (American Academy of Neurology)

The autonomic nervous system is involved with virtually all diseases. Management of the patient with suspected autonomic dysfunction includes routine and specialized clinical tests to evaluate sympathetic and parasympathetic involvement, and determine the proper course of treatment.

Dizziness and syncope are some of the most frequent conditions for which neurologists are consulted. By monitoring heart rate and beat-to-beat blood pressure during head-up tilt testing, Valsalva maneuver and paced breathing, the symptoms and severity can be accurately assessed.

The goals of clinical evaluation are to identify the presence, distribution, and temporal pattern of autonomic dysfunction, specify the involved components of the autonomic nervous system, and of special importance, to detect treatable, serious disorders.

The WR TestWorks Autonomic Testing Labs are scientifically based and standardized to supplement and extend the patient history and examination with physiologic measurements.

With the WR TestWorks labs you will be able to perform tests of the following:

Sympathetic Cholinergic Function


                QSART
Reflexive Cardiovagal Function
                Valsalva maneuver with Beat-to-Beat BP and Heart Rate measurements
                Heart Rate Response to Deep Breathing (HRDB)
Reflexive Sympathoneural Function
Orthostatic intolerance
                Head-up Tilt with Beat-to-Beat BP and Heart Rate Measurements

WR TestWorks Autonomic Labs are

  • Custom – Systems are assembled and integrated specifically for each customer, in about 15 working days.
  • Modular – Modules includes sweat output testing, cardiovagal (ECG with recorded R-R) advanced cardiovagal/adrenergic (ECG and continuous beat-to-beat blood pressure measurements and tilt table), and Quantitative Sensory Testing (QST) using the CASE IV System.
  • Turn-key – We include all the items you need for successful testing, based on your needs.

WR Medical is an authorized dealer of the BMEYE Nexfin Cardiovascular Monitor for BP and optional hemodynamic profiles.

On-site installation and training are included for all sites in the USA and Canada.

Please contact us to discuss your testing interests and needs. We can prepare the specific lab with the exact equipment to fit the needs of you and your patients.

Manifestations of autonomic disorders include the following:

Orthostatic intolerance

  • Presyncope and syncope
  • Cognitive problems
  • Headache upon standing
  • Weakness in the legs on standing
  • Heart palpitations or anxiety after prolonged standing

Vasomotor manifestations

  • Feeling of coldness
  • Skin color and trophic changes

Sweating

  • Anhidrosis
  • Hypohidrosis
  • Heat intolerance
  • Dry eyes and mouth

Digestive problems

  • Gastroparesis
  • Early satiety
  • Persistent sense of fullness
  • Constipation
  • Diarrhea, particularly nocturnal

Genitourinary manifestations

  • Incomplete emptying
  • Urinary urgency and frequency
Sexual dysfunction
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WR Medical Electronics Co.

WR Medical Electronics Co. 123 North Second Street, Stillwater, MN 55082 USA.
Phone 651-430-1200. Fax 651-439-9733. Email:info@wrmed.com
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Last modified 9-April-2008