David H. Dighton

Tiredness, Chronic Fatigue & Exhaustion

Neurophysiology and Cardiovascular Risk

• Gebundenes Buch

Produktbeschreibung

Tiredness, fatigue, and exhaustion (TFE) affect millions of people in the UK and the USA, affecting lifestyle, productivity and road traffic accidents. Although they can result from age, unfitness, infection, heart failure, and hypothyroidism, they more often result from patient behaviour, home, and work relationships, social circumstances, and lifestyle stresses that cause disturbed sleep. Studying these factors allows some insight into the possible causes of the health divide. This study explores the neurophysiological mechanisms by which sleep restores - or fails to restore - perceived energy. A long period of tiredness, fatigue, and exhaustion can precede cardiac infarction, stroke, the onset of angina, and tachyarrhythmias. The presence of fatigue can make angina, heart failure, and hypertension more difficult to treat. Managing TFE effectively may help to reduce the likelihood of cardiovascular outcomes in those with established CVS risk factors. In the absence of any organic cause, a diagnosis of post-viral syndrome, chronic fatigue syndrome, or myalgic encephalitis (ME) is often made. For patients with known CVS disease, a family history of CVS disease, or hypertension, clinicians should conduct a CVS evaluation before accepting these diagnoses. Cardiovascular pathophysiology (endothelial inflammation, atherogenesis, hypercoagulability, hypertension, etc.) has features in common with some of the neurophysiological mechanisms causing TFE. Exploring the neurophysiological causes of TFE requires different scales of brain activity to be examined. These include molecular aspects (transmitters); neuronal aspects (conduction); neuronal pathway patterns ('connectomics'), and at the global scale, cerebral functioning. They are all considered here as they relate to wakefulness, executive functioning, and sleep disturbance. This book reviews various treatments and interventions for TFE. They include sedation, sleep therapy, psychotherapy, counselling, social change, and cognitive therapy for sleep (CBTi), along with cardiac therapeutic measures.

Produktdetails

• Verlag: Dr D H Dighton trading as Loughton Clinic
• Seitenzahl: 336
• Erscheinungstermin: 22. Mai 2025
• Englisch
• Abmessung: 222mm x 145mm x 25mm
• Gewicht: 759g
• ISBN-13: 9781068359736
• ISBN-10: 1068359730
• Artikelnr.: 74394833

Autorenporträt

Dr. David H. Dighton qualified at the London Hospital Medical College in 1966 with MB and BS (London) degrees. In 1970, after some time spent in an NHS general practice, he became a British Heart Foundation Fellow in Cardiology at St. George's Hospital, Hyde Park Corner, London, working with cardiologists Dr. Aubrey Leatham and Dr. Alan Harris. In 1973, he became a MRCP(UK), and later a lecturer (London University) in Medicine and Cardiology at Charing Cross Hospital, London. In 1980, he became Chef de Clinique (Assistant Professor) at the Vrije University Hospital, Amsterdam. After returning to the UK in 1982, he worked both in his own private medical and cardiac practice in Loughton, Essex (The Loughton Clinic, established in 1973), and at the Wellington Hospital, London. In 2000, he started a private cardiac diagnostic centre, specialising in heart disease prevention and the early detection of heart and artery disease (The Cardiac Centre, Loughton). In 2003 and 2006, he wrote two books on food and the heart, and between 2023 and 2014, six books on medical and cardiac subjects. He continues to publish books on both medical topics and his research relating to secondary cardiac prevention.One result of his interest in the frontier between art and science is one small book of poems, haiku, and senryu, on inter-personal relationships. His magnum opus, The Art, and Science of Medical Practice, details what he learned from practising the art and science of medicine for sixty years. This is his tenth book, but he also draws (including the illustrations in this book) and paints in oils on canvas. After playing the guitar and piano for many decades, for his own amusement, he now composes simple melodies, one of which introduces his YouTube series on understanding heart problems (Dr. Dighton interviews), another of which he played live (on Facebook) for patient and friend, June Robins. For further information go to: www.daviddighton.comEmail: [e-mail]