Enhancing Cardiology Practice with TM Flow Measuring Cardiac Autonomic Neuropathy

0:00 Hi, I'm Thomas with Gateway Clinical, and I'm here to explain to you how the TM Flow can benefit the cardiology practice.
0:10 essentially, what TM Flow allows you to do is to, measure, the presence of cardiac autonomic neuropathy, and you can see that here, in this particular report right here.
0:22 we get this measure by doing an, a heart rate variability test, with the patient, which, challenges the patient in four different ways, which is also a billable, service.
0:31 but I wanted to express to you the, importance of cardiac, autonomic neuropathy and measuring it, and, and how it's the missing cardiovascular risk layer.
0:40 The, the clinical gap in modern cardiology, is where cardiology routinely evaluates the structure of the heart, of the heart. Through echocardiography and, and ejection fraction, ischema, stress testing, nuclear imaging, anatomy, through CTA and cardiac, catheterization, and the rhythm, Holter monitoring
0:59 and EP studies. Yeah, one critical, critical regulator of cardiovascular outcomes is often unmeasured, which is the autonomic control, so physiologic balance governing heart rate, vascular tone, and electrical stability.
1:14 So, essentially, you think of the heart rate, as both plumbing and electrical while this is the electrical part of the heart.
1:22 And why cardiac autonomic neuropathy matters, essentially. extensive literature demonstrates it, can, to, is associated with, an increase in silent mitocardial ischema, an increase in QT prolonga- prolongation and malignant arrhythmias, an increase in sudden cardiac death, an increase in orthostatic
1:42 hypotension, and non-dipping blood pressure, an increase in left ventricle hypertrophy, and, three times incre- increased mortality risk. Autonomic dysfunction frequently develops before symptoms and often before EF declines.
1:58 So, essentially, you're using cardiac autonomic, reflex tests, to, measure, the, autonomic balance of a patient and essentially, use it as a tool for prese- preventative medicine.
2:09 from a cardiac perspective. there's a limitation to EF. a, a, ejection fracture measures mechanical pump function. It does not measure sympathetic-parasympathetic balance, baroreflex integrity, electrical vulnerability, early microvascular or neural dysfunction.
2:25 Patients may have preserved ejection fraction while already exhibiting high-risk autonomic imbalance. So what we do, with the flow system, it's a non-invasive office-based autonomic and vascular assessment platform designed to evaluate cardiovascular autonomic function.
2:46 Now this measurement includes a heart rate variability test, a cardiovascular reflex test and Ewing battery. sympathetic and parasympathetic balance, pseudomotor small fiber function, blood pressure variability, and an ankle brachial index.
3:02 And it takes only 15 minutes. It's non, non-invasive and it's objective and it's reproducible. Metrics. On top of it. There's three billable CPT codes, so you can't really lose financially by implementing this into your practice.
3:15 In fact becomes sometimes a quite, quite an asset to the practice. And there's a clinical impact for cardiology practices. Thank you.
3:23 The Flow 7 enables earlier cardiovascular risk stratification, identification of silent ischema risk, detection of autonomic-related arrhythmia risk, enhanced diabetic cardiovascular management, and longitudinal monitoring of autonomic risk.
3:39 progression. So I ask you, if autonomic dysfunction predicts ischema, arrhythmia, and mortality, should it remain unmeasured in routine cardiovascular care?
3:51 The Flow 7 adds the missing physiological layer between structure and outcome. And, if you have any other questions about that or you want to, pursue this and find out more, please contact me and I'll take you through it.
4:03 Thank you.

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