Geriatric Dysautonomia

Geriatric Dysautonomia

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Brain & Nerve
Bone, Muscle, & Joint
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Contributed byKrish Tangella MD, MBASep 11, 2023

What are the other Names for this Condition? (Also known as/Synonyms)

  • Age-Related Autonomic Dysfunction
  • Autonomic Failure in the Elderly

What is Geriatric Dysautonomia? (Definition/Background Information)

  • Geriatric Dysautonomia denotes a condition characterized by dysfunction or impairment of the autonomic nervous system in elderly individuals. It is a result of age-related changes and degeneration of the autonomic nerve cells
  • The signs and symptoms of Geriatric Dysautonomia can include dizziness, orthostatic hypotension, urinary dysfunction, and cardiovascular irregularities. Diagnosis involves evaluating medical history, conducting autonomic function tests, and ruling out other conditions
  • The treatment focuses on symptom management, which may involve medications, lifestyle adjustments, and addressing underlying health issues. The prognosis of Geriatric Dysautonomia varies based on individual health and the extent of autonomic dysfunction, with treatment aimed at improving daily functioning and quality of life in older adults

Who gets Geriatric Dysautonomia? (Age and Sex Distribution)

  • Geriatric Dysautonomia primarily affects older adults, typically over the age of 60 or 65
  • It is more commonly observed in the elderly population of both genders
  • The condition may occur worldwide, affecting individuals of all racial and ethnic groups

What are the Risk Factors for Geriatric Dysautonomia? (Predisposing Factors)

The risk factors for Geriatric Dysautonomia may include the following:

  • Advanced age
  • Pre-existing autonomic disorders
  • Certain medical conditions such as diabetes and Parkinson's disease
  • Medications that may affect the autonomic nervous function

It is important to note that having a risk factor does not mean that one will get the condition. A risk factor increases one’s chances of getting a condition compared to an individual without the risk factors. Some risk factors are more important than others.

Also, not having a risk factor does not mean that an individual will not get the condition. It is always important to discuss the effect of risk factors with your healthcare provider.

What are the Causes of Geriatric Dysautonomia? (Etiology)

The exact causes of Geriatric Dysautonomia are not fully understood. It is believed to be a combination of age-related degenerative changes, reduced blood flow to the autonomic nerves, and accumulation of damage over time.

What are the Signs and Symptoms of Geriatric Dysautonomia?

The signs and symptoms of Geriatric Dysautonomia can vary among individuals (and may be mild or severe) but commonly include:

  • Orthostatic hypotension (low blood pressure upon standing)
  • Dizziness or lightheadedness
  • Rapid or irregular heart rate
  • Difficulty regulating body temperature
  • Gastrointestinal problems (nausea, bloating, constipation)
  • Urinary difficulties (frequency, urgency, incontinence)
  • Sweating abnormalities
  • Fatigue or weakness
  • Cognitive impairment (in some cases)

How is Geriatric Dysautonomia Diagnosed?

The diagnosis of Geriatric Dysautonomia involves a thorough medical history evaluation, assessment of symptoms, physical examination, and diagnostic tests. These may include:

  • Orthostatic blood pressure measurements
  • Autonomic function tests
  • Blood tests to evaluate for underlying medical conditions
  • Cardiac monitoring
  • Imaging studies, such as MRI scans, to rule out other causes

Many clinical conditions may have similar signs and symptoms. Your healthcare provider may perform additional tests to rule out other clinical conditions to arrive at a definitive diagnosis.

What are the possible Complications of Geriatric Dysautonomia?

The complications of Geriatric Dysautonomia may include:

  • Falls and injuries due to postural instability
  • Increased risk of cardiovascular events
  • Nutritional deficiencies due to gastrointestinal problems
  • Urinary tract infections or related complications
  • Impaired quality of life

How is Geriatric Dysautonomia Treated?

The management of Geriatric Dysautonomia focuses on relieving symptoms and improving quality of life. The treatment options may include:

  • Lifestyle modifications: Adequate hydration, avoiding triggers, and regular exercise
  • Medications: Prescribed to manage symptoms such as blood pressure regulation, heart rate control, and urinary problems
  • Physical therapy: Exercises to improve balance, strength, and mobility
  • Assistive devices: Use of mobility aids, handrails, and other support mechanisms

How can Geriatric Dysautonomia be Prevented?

Prevention strategies for Geriatric Dysautonomia include maintaining a healthy lifestyle, managing underlying medical conditions, avoiding excessive medication use, and regular medical check-ups.

What is the Prognosis of Geriatric Dysautonomia? (Outcomes/Resolutions)

  • The prognosis for Geriatric Dysautonomia varies depending on the severity of symptoms, overall health, and response to treatment
  • With proper management, symptoms can often be alleviated, and quality of life improved. However, the condition is chronic and progressive in nature

Additional and Relevant Useful Information for Geriatric Dysautonomia:

The following DoveMed website link is a useful resource for additional information:

http://www.dovemed.com/diseases-conditions/rare-disorders/

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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