Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 When sleeping with the 24 hr device:1. If you lay flat the arm is below heart level and the pressure will be high.2. If you sleep on a pillow on your back then it will be lower'3. If you sleep on your side with the cuff taking the pressure up your pressure will be about 10-15 mm Hg higher. 4. If you sleep on your side and the cuff is under you the pressure will be lower by 10 mm Hg.Unfortunatley most 24 hr devices do not tell you which way your are sleeping. CE Grim, MDSo Thank you for the great information. This is interesting to me:"This test is superior to other tests because the mathematical calculations in the wavelet transform are synchronized to the respiratory rate. There are other ANS measurement systems, but they don't synchronize the measurements to the respiratory rate. The respiratory rate is a key input to the ANS, because volume in the chest varies as you inhale or exhale. The ANS compensates for this variation in chest volume in real time through the vegus nerve activity. When ANS function deteriorates, heart rate variation in response to respiration are diminished. This is comparatively difficult to quantify in a tilt table exam."Now that I have thought more about the 48-hr BP monitor test in 2008, I remember Whey my bp was down to 90/60 when I was asleep, not just upon lying down. It does fall a bit when I lay down (I have checked this several times in the last week) but not that far. I remember when I wore the monitor I watched many of the readings display; I never saw anything in my normal range when I was awake, that is why I specifically asked doc what it showed in middle of the night when I was asleep; it was normal in the middle of the night, both nights.I have had a very bad course of physical pain over the last three years; too much to explain and very boring too. But suffice to say I have been physically uncomfortable standing, sitting, walking, anything upright constantly for over three years; In the last few months I finally realized my respirations are shallow and fast. My respirations are (were) normally in the range of 8-10 per minute; now they are usually faster and more shallow. My body has compensated for the foot/knee pain by adopting a posture and gait to protect them but in doing so my chest and respirations have been constricted. After all the testing in 2008 didn't result in a diagnosis, I began to wonder if bp was higher while awake due to pain, but I don't think it goes that much higher just in response to pain. More recently I have wondered if it is related to chest constriction and decreased volume of respirations. Thus the interest in your information about respirations.>> If you have any say in the choice of testing, you can learn the most by having the ANSAR test. This test is less subject to interpretation and impressions than a tilt table test. You can find an explanation at http://www.ans-hrv.com/introduction.htm . They have some excellent powerpoint explanations about the autonomic nervous system and this test method. There is also an exe file that is a slide show presentation. > > The ANSAR test system combines the classical nervous system challenges into on fifteen minute test. For instance, response to deep breathing, 15/30 ratio, valsalva maneuver, postural change from seated to standing are all examined. Blood pressure is measured throughout the test. Heart rate variability is measured continuously and the power spectrum of the heart beat period is calculated using wavelet transform. Since the autonomic nervous system function will be seen in the instant to instant heart beat interval, the response of the ANS is examined directly for each of these challenges. Frequency domain analysis of the heart r-r interval allows the function of the sympathetic and parasympathetic nervous system to be observed for each of these challenges. This gives much greater insight to ANS issues than watching BP rise or crash from standing or head up tilt. It replaces impressions with hard numbers. Response to medications can be compared -> medications alter ANS function. > > This test is superior to other tests because the mathematical calculations in the wavelet transform are synchronized to the respiratory rate. There are other ANS measurement systems, but they don't synchronize the measurements to the respiratory rate. The respiratory rate is a key input to the ANS, because volume in the chest varies as you inhale or exhale. The ANS compensates for this variation in chest volume in real time through the vegus nerve activity. When ANS function deteriorates, heart rate variation in response to respiration are diminished. This is comparatively difficult to quantify in a tilt table exam. > > > > > > > > > > > ________________________________> > To: hyperaldosteronism > Sent: Sun, March 28, 2010 10:10:46 AM> Subject: Re: Neuropathy> > > Some on here may also have Postural Orthostatic Tachycardia Syndrome.> One of the ED Dr. thought I should have the tilt table test done. It is something they don't do at the local VA. Would have to go to Boston VA a three hour drive. My main Dr doesn't think it would show any thing.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 Alone they are not very good at lowering BP and when used alone increase the risk of CHF. So trust you are DASHing or ask your Dr about adding a diuretic. CE Grim MDI started on an alpha blocker for the aldo/renin retest; was on nothing for 2 weeks but bp went up so started alpha blocker. I have done pretty well on it. At first I felt more fatigue, but now I am either used to it or it has decreased. BP> > Did you have any trouble with bloating and hypertension while on the CCB for the retest? I'm about to do the renin/aldosterone ratio. I'm not looking forward to this after finally "drying out" with Eplerenone. Best of luck with your AVS. > > > > To: "hyperaldosteronism " <hyperaldosteronism >> Sent: Sat, March 27, 2010 2:31:35 PM> Subject: Re: Re: Neuropathy> > > Kim my Aldo was high and renin normal the first time I tested. I was on ace inhibitor also. After 2 weeks on verapamil I was retested and ny renin was low. I have since done the saline suppression test, ct and next week will have the AVS.> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 And where can one get this test?CEIf you have any say in the choice of testing, you can learn the most by having the ANSAR test. This test is less subject to interpretation and impressions than a tilt table test. You can find an explanation at http://www.ans-hrv.com/introduction.htm . They have some excellent powerpoint explanations about the autonomic nervous system and this test method. There is also an exe file that is a slide show presentation. The ANSAR test system combines the classical nervous system challenges into on fifteen minute test. For instance, response to deep breathing, 15/30 ratio, valsalva maneuver, postural change from seated to standing are all examined. Blood pressure is measured throughout the test. Heart rate variability is measured continuously and the power spectrum of the heart beat period is calculated using wavelet transform. Since the autonomic nervous system function will be seen in the instant to instant heart beat interval, the response of the ANS is examined directly for each of these challenges. Frequency domain analysis of the heart r-r interval allows the function of the sympathetic and parasympathetic nervous system to be observed for each of these challenges. This gives much greater insight to ANS issues than watching BP rise or crash from standing or head up tilt. It replaces impressions with hard numbers. Response to medications can be compared - medications alter ANS function. This test is superior to other tests because the mathematical calculations in the wavelet transform are synchronized to the respiratory rate. There are other ANS measurement systems, but they don't synchronize the measurements to the respiratory rate. The respiratory rate is a key input to the ANS, because volume in the chest varies as you inhale or exhale. The ANS compensates for this variation in chest volume in real time through the vegus nerve activity. When ANS function deteriorates, heart rate variation in response to respiration are diminished. This is comparatively difficult to quantify in a tilt table exam. From: Francis Bill SUSPECTED PA <georgewbill>To: hyperaldosteronism Sent: Sun, March 28, 2010 10:10:46 AMSubject: Re: Neuropathy Some on here may also have Postural Orthostatic Tachycardia Syndrome.One of the ED Dr. thought I should have the tilt table test done. It is something they don't do at the local VA. Would have to go to Boston VA a three hour drive. My main Dr doesn't think it would show any thing. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2010 Report Share Posted March 28, 2010 or you could do the 14 day DASH trial CE Grim MDI've been given Cardizem and told to adjust the dose (increase as I go along) while I drop the usual meds. I've had Cardizem before. It raises blood sugar some. I've had Procardia XL years ago and I had terrible headache from that. It added forty points to blood sugars too. Fortunately, this experiment will only take a few weeks. From: Clarence Grim <lowerbp2mac>To: hyperaldosteronism Sent: Sun, March 28, 2010 11:46:07 AMSubject: Re: Re: Neuropathy Some on CCBs have headaches get better others worse. Did it help the HAs?ouMy bp was high for a week to a week and a half after starting verapomil. I also had a bad headache. I am still on it and doing pretty well. Sent from my iPodOn Mar 28, 2010, at 12:52 AM, Zhen Chu <zhenchuymail (DOT) com> wrote: Did you have any trouble with bloating and hypertension while on the CCB for the retest? I'm about to do the renin/aldosterone ratio. I'm not looking forward to this after finally "drying out" with Eplerenone. Best of luck with your AVS. From: Vicki Ritchie <vritchie147>To: "hyperaldosteronism @yahoogroups. com" <hyperaldosteronism@ yahoogroups. com>Sent: Sat, March 27, 2010 2:31:35 PMSubject: Re: [hyperaldosteronism ] Re: Neuropathy Kim my Aldo was high and renin normal the first time I tested. I was on ace inhibitor also. After 2 weeks on verapamil I was retested and ny renin was low. I have since done the saline suppression test, ct and next week will have the AVS. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2010 Report Share Posted March 29, 2010 It's a fairly new system coming into acceptance. One could probably find a physician who has the system by contacting the company directly at http://www.ans-hrv.com/contact.htm . This is used in diabetes management, so endocrinologists who are keeping up to date may have the system at their office. It can detect diabetic neuropathy before it's noticed in typical office exam checks. Some who treat POTS or Fibromyalgia may also have the system. To: hyperaldosteronism Sent: Mon, March 29, 2010 12:55:15 AMSubject: Re: Re: Neuropathy And where can one get this test?CEIf you have any say in the choice of testing, you can learn the most by having the ANSAR test. This test is less subject to interpretation and impressions than a tilt table test. You can find an explanation at http://www.ans- hrv.com/introduc tion.htm . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2010 Report Share Posted March 29, 2010 Thank you for this information . Sent from my iPod It's a fairly new system coming into acceptance. One could probably find a physician who has the system by contacting the company directly at http://www.ans-hrv.com/contact.htm . This is used in diabetes management, so endocrinologists who are keeping up to date may have the system at their office. It can detect diabetic neuropathy before it's noticed in typical office exam checks. Some who treat POTS or Fibromyalgia may also have the system. From: Clarence Grim <lowerbp2mac>To: hyperaldosteronism Sent: Mon, March 29, 2010 12:55:15 AMSubject: Re: Re: Neuropathy And where can one get this test?CEIf you have any say in the choice of testing, you can learn the most by having the ANSAR test. This test is less subject to interpretation and impressions than a tilt table test. You can find an explanation at http://www.ans- hrv.com/introduc tion.htm . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2010 Report Share Posted March 29, 2010 How much does it cost nTiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension It's a fairly new system coming into acceptance. One could probably find a physician who has the system by contacting the company directly at http://www.ans-hrv.com/contact.htm . This is used in diabetes management, so endocrinologists who are keeping up to date may have the system at their office. It can detect diabetic neuropathy before it's noticed in typical office exam checks. Some who treat POTS or Fibromyalgia may also have the system. From: Clarence Grim <lowerbp2mac>To: hyperaldosteronism Sent: Mon, March 29, 2010 12:55:15 AMSubject: Re: Re: Neuropathy And where can one get this test?CEIf you have any say in the choice of testing, you can learn the most by having the ANSAR test. This test is less subject to interpretation and impressions than a tilt table test. You can find an explanation at http://www.ans- hrv.com/introduc tion.htm . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 29, 2010 Report Share Posted March 29, 2010 Cant seem to get to this site.CE Grim MDt http://www.ans-hrv.com/contact.htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2010 Report Share Posted March 30, 2010 The goal of this company, among other things, is to sell their equipment. Note at the top it shouts that the reimbursement for this procedure has been increased by $!27- must be more than this to start. Putting this into your office would be real money maker it seems if you test everyone with DM or suspectred DM and maybe test them every year or even every 6 months. I would be worried that the salesmanship exceeds the science. What we as tax payers must know about new procedures like this is:After you have had the test are you healthier in the long run than if you did not have the test. That is did the test change treatments and did that change outcomes. Say fewer foot amputations in diabetes. What can you find in PUBMED on this testing with this device?CE Grim On Mar 30, 2010, at 8:13 AM, Francis Bill SUSPECTED PA wrote:This is the link thatb shoukld work. Just a note many times when you say you can't open the link it looks like something is changed in the link. All links should start with http: or www. http://www.ans-hrv.com/index.htm --- In hyperaldosteronism , Clarence Grim wrote:>> Cant seem to get to this site.> CE Grim MD> > > >> t http://www.ans-hrv.com/contact.htm> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2010 Report Share Posted March 30, 2010 I am looking at Microsoft Office Live Workspace to develop and share our questionnaire.Would like others to look at this to see if it might work. Will do word document first.CE Grim MDOn Mar 30, 2010, at 8:13 AM, Francis Bill SUSPECTED PA wrote:This is the link thatb shoukld work. Just a note many times when you say you can't open the link it looks like something is changed in the link. All links should start with http: or www. http://www.ans-hrv.com/index.htm --- In hyperaldosteronism , Clarence Grim wrote:>> Cant seem to get to this site.> CE Grim MD> > > >> t http://www.ans-hrv.com/contact.htm> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2010 Report Share Posted March 30, 2010 I was thinking I had set it up so all can view. I am setting you up as a manager in a few moments I hope.You can also set up a document for all to view an edit I think. There are others here better at this than I am.CE Grim MDOn Mar 30, 2010, at 8:54 AM, Francis Bill SUSPECTED PA wrote:You will need to provide access to what you set up. > > >> > > >> t http://www.ans-hrv.com/contact.htm> > >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2010 Report Share Posted March 30, 2010 It looks like the link got damaged. The whole thing should have been underlined. I'll try again. If it still doesn't work, try typing it in by hand all the way from start to finish. http://www.ans-hrv.com/contact.htmFrom: Clarence Grim To: hyperaldosteronism Sent: Tue, March 30, 2010 1:00:29 AMSubject: Re: Re: Neuropathy Cant seem to get to this site.CE Grim MDt http://www.ans- hrv.com/contact. htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 30, 2010 Report Share Posted March 30, 2010 They say Medicare rate is $172.75. To: "hyperaldosteronism " <hyperaldosteronism >Sent: Tue, March 30, 2010 12:52:23 AMSubject: Re: Re: Neuropathy How much does it cost Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.