Document Detail

The clinical spectrum of autonomic dysfunction.
MedLine Citation:
PMID:  6972166     Owner:  NLM     Status:  MEDLINE    
Classic cases of idiopathic autonomic dysfunction are easily recognized, but certain presentations may not immediately suggest the diagnosis. Among 297 cases in the experience of our institutions, eight have been selected as illustrative of the difficulties which may be encountered. The disorder may present as angina pectoris, Parkinsonism, night blindness, nasal stuffiness, malignant hypertension, postprandial fainting, intracerebral hemorrhage and respiratory arrest. About half of the patients with idiopathic orthostatic hypotension manifest supine hypertension. These subjects are extremely sensitive to pressor and depressor agents; those who have angina pectoris complicating their disease are characteristically worsened by nitroglycerin.
S Hines; M Houston; D Robertson
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of medicine     Volume:  70     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1981 May 
Date Detail:
Created Date:  1981-07-23     Completed Date:  1981-07-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1091-6     Citation Subset:  AIM; IM    
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MeSH Terms
Amyloidosis / diagnosis
Angina Pectoris / diagnosis
Autonomic Nervous System Diseases / diagnosis*
Cerebral Hemorrhage / diagnosis
Diagnosis, Differential
Heart Arrest / diagnosis
Hypertension / diagnosis
Middle Aged
Night Blindness / diagnosis
Parkinson Disease / diagnosis
Shy-Drager Syndrome / diagnosis
Syncope / diagnosis
Grant Support

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