Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

An Overview of the Utility of Autonomic Balance Measurement in Clinical Practice.

Version 1 : Received: 15 March 2024 / Approved: 15 March 2024 / Online: 18 March 2024 (10:05:07 CET)

How to cite: Khosravi, Z.; Alshanfari, R.; Kumar, A. An Overview of the Utility of Autonomic Balance Measurement in Clinical Practice.. Preprints 2024, 2024030949. https://doi.org/10.20944/preprints202403.0949.v1 Khosravi, Z.; Alshanfari, R.; Kumar, A. An Overview of the Utility of Autonomic Balance Measurement in Clinical Practice.. Preprints 2024, 2024030949. https://doi.org/10.20944/preprints202403.0949.v1

Abstract

Background: Autonomic balance measurement (ABM) is a valuable tool in clinical practice for assessing the functioning of the autonomic nervous system (ANS), which controls involuntary bodily functions. Here we summarize the current understanding of the utility of autonomic balance measurement in clinical practice. Methods: A narrative review of relevant literature was conducted, focusing on studies investigating the use of autonomic balance measures in various clinical settings. Results: ABM holds potential benefits in clinical practice, including aiding in diagnosing autonomic dysfunction, monitoring treatment efficacy, and predicting potential health complications. ABM can be crucial for diagnosing various conditions, including cardiovascular diseases (Heart failure, arrhythmias, and hypertension), neurological disorders (Parkinson's disease, Alzheimer's disease, and diabetic neuropathy), in sports medicine athletes can undergo ABM to optimize training regimens, enhance performance, assessing the impact of training stress, preventing overtraining, and promoting overall well-being and probably to assess potential health risks, in metabolic syndromes ABM can aid in the early detection of autonomic neuropathy, a diabetes-related complication, allowing for timely intervention and better management of the disease, and psychiatric disorders (Anxiety, depression, and post-traumatic stress disorder). In addition, ABM can be helpful in monitoring of treatment efficacy, by tracking changes in autonomic balance, clinicians can assess if treatments for conditions impacting the autonomic nervous system are effective. ABM can also be helpful in predicting outcomes by facilitating early recognition of future health complications in certain populations. However, limitations exist, including non-specificity, variability in measurements, and limited evidence for routine use in specific clinical settings. Conclusion: Incorporating autonomic balance measurement into routine clinical assessments provides a more comprehensive understanding of a patient's health. It complements traditional diagnostic methods, offering additional insights into the body's regulatory mechanisms. While autonomic balance measurement offers potential benefits, careful interpretation and consideration of its limitations are crucial for its effective use in clinical practice. ABM remains a valuable and versatile tool in clinical practice for a deeper understanding of the autonomic nervous system, enabling early detection, targeted interventions, and improved management of various medical conditions across different specialties.

Keywords

Autonomic physiology, cardiovascular, neurovascular, prognosis, risk analysis.

Subject

Medicine and Pharmacology, Medicine and Pharmacology

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