{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T12:26:42Z","timestamp":1770812802149,"version":"3.50.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T00:00:00Z","timestamp":1594598400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T00:00:00Z","timestamp":1594598400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Clin Auton Res"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The coronavirus disease 2019 (COVID-19) pandemic has changed the way most medical procedures are performed. Autonomic units, as well as other healthcare sectors, are required to undergo a thorough reorganization of the protocols in order to guarantee the safety of patients and healthcare staff. Cardiovascular autonomic function testing (CAFT) is necessary in certain situations; however, it poses several concerns which need to be addressed. Here, we provide some practical advice based on current national and international health authorities\u2019 recommendations and our experience about how to perform CAFT during the COVID-19 emergency. We examine aspects regarding patients, healthcare staff, laboratory preparation, and test performance.<\/jats:p>","DOI":"10.1007\/s10286-020-00710-4","type":"journal-article","created":{"date-parts":[[2020,7,13]],"date-time":"2020-07-13T08:04:46Z","timestamp":1594627486000},"page":"325-330","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Testing cardiovascular autonomic function in the COVID-19 era: lessons from Bologna\u2019s Autonomic Unit"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0597-603X","authenticated-orcid":false,"given":"Pietro","family":"Guaraldi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Barletta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Baschieri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanna","family":"Calandra-Buonaura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Provini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Cortelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,7,13]]},"reference":[{"key":"710_CR1","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1016\/S0140-6736(20)30627-9","volume":"395","author":"A Remuzzi","year":"2020","unstructured":"Remuzzi A, Remuzzi G (2020) COVID-19 and Italy: what next? Lancet 395:1225\u20131228. https:\/\/doi.org\/10.1016\/S0140-6736(20)30627-9","journal-title":"Lancet"},{"key":"710_CR2","doi-asserted-by":"publisher","DOI":"10.1007\/s10286-020-00702-4","author":"JJ Figueroa","year":"2020","unstructured":"Figueroa JJ, Cheshire WP, Claydon VE et al (2020) Autonomic function testing in the COVID-19 pandemic: an American Autonomic Society position statement. Clin Auton Res. https:\/\/doi.org\/10.1007\/s10286-020-00702-4","journal-title":"Clin Auton Res"},{"key":"710_CR3","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1055\/s-2004-817725","volume":"23","author":"PA Low","year":"2003","unstructured":"Low PA (2003) Testing the autonomic nervous system. Semin Neurol 23:407\u2013421. https:\/\/doi.org\/10.1055\/s-2004-817725","journal-title":"Semin Neurol"},{"key":"710_CR4","unstructured":"WHO (2020) Cleaning and disinfection of environmental surfaces in the context of COVID-19. Interim guidance. https:\/\/www.who.int\/publications-detail\/cleaning-and-disinfection-of-environmental-surfaces-inthe-context-of-covid-19. Accessed 4 Jun 2020"},{"key":"710_CR5","unstructured":"WHO (2020) Overview of public health and social measures in the context of COVID-19. Interim guidance. https:\/\/www.who.int\/publications\/i\/item\/overview-of-public-health-and-social-measures-in-the-context-of-covid-19. Accessed 17 Jun 2020"},{"key":"710_CR6","unstructured":"WHO (2020) Infection prevention and control during health care when COVID-19 is suspected. Interim guidance. https:\/\/www.who.int\/publications\/i\/item\/10665-331495. Accessed 17 Jun 2020"},{"key":"710_CR7","unstructured":"Centers for Disease Control and Prevention (2020) Symptoms of coronavirus. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/symptoms-testing\/symptoms.html. Accessed 4 Jun 2020"},{"key":"710_CR8","unstructured":"WHO (2020) Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19). https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/331498\/WHO-2019-nCoV-IPCPPE_use-2020.2-eng.pdf. Accessed 3 Jun 2020"},{"key":"710_CR9","unstructured":"Gruppo di Lavoro ISS Prevenzione e Controllo delle Infezioni (2020) Indicazioni ad interim per un utilizzo razionale delle protezioni per infezione da SARS-COV- 2 nelle attivit\u00e0 sanitarie e sociosanitarie (assistenza a soggetti affetti da covid-19) nell\u2019attuale scenario emergenziale SARS-COV-2. 2020. https:\/\/www.epicentro.iss.it\/coronavirus\/pdf\/rapporto-covid-19-2-2020.pdf. Accessed 3 Jun 2020"},{"key":"710_CR10","doi-asserted-by":"publisher","first-page":"864","DOI":"10.1111\/head.13811","volume":"60","author":"JJY Ong","year":"2020","unstructured":"Ong JJY, Bharatendu C, Goh Y et al (2020) Headaches associated with personal protective equipment\u2014a cross-sectional study among frontline healthcare workers during COVID-19. Headache 60:864\u2013877. https:\/\/doi.org\/10.1111\/head.13811","journal-title":"Headache"},{"key":"710_CR11","unstructured":"Ministero della Salute (2020) Ricerca e gestione dei contatti di casi COVID-19 (contact tracing) ed App Immuni. https:\/\/www.salute.gov.it\/portale\/nuovocoronavirus\/dettaglioContenutiNuovoCoronavirus.jsp?lingua=italiano&id=5373&area=nuovoCoronavirus&menu=vuoto#2. Accessed 3 Jun 2020"},{"key":"710_CR12","unstructured":"Centers for Disease Control and Prevention. Contact tracing for COVID-19. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/php\/contact-tracing\/contact-tracing-plan\/contact-tracing.html. Accessed 3 Jun 2020"},{"key":"710_CR13","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.cmpb.2014.08.002","volume":"117","author":"I Corazza","year":"2014","unstructured":"Corazza I, Barletta G, Guaraldi P et al (2014) A new integrated instrumental approach to autonomic nervous system assessment. Comput Methods Programs Biomed 117:267\u2013276. https:\/\/doi.org\/10.1016\/j.cmpb.2014.08.002","journal-title":"Comput Methods Programs Biomed"},{"key":"710_CR14","unstructured":"GOV.UK Guidance (2020) Staying safe outside your home. https:\/\/www.gov.uk\/government\/publications\/staying-safe-outside-your-home\/staying-safe-outside-your-home. Accessed 17 Jun 2020"},{"key":"710_CR15","unstructured":"Centers for Disease Control and Prevention (2020) Interim infection prevention and control recommendations for patients with suspected or confirmed coronavirus disease 2019 (COVID-19) in healthcare settings. https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/hcp\/infection-control-recommendations.html#minimize. Accessed 17 Jun 2020"},{"key":"710_CR16","unstructured":"Fanciulli A, Habek M, Carneiro D et al (2020) COVID-19: statement by the Autonomic Nervous System Disorders Scientific Panel. https:\/\/www.eanpages.org\/2020\/04\/17\/covid-19-statement-by-the-autonomic-nervous-system-disorders-scientific-panel\/. Accessed 3 May 2020"}],"container-title":["Clinical Autonomic Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10286-020-00710-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10286-020-00710-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10286-020-00710-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T23:13:20Z","timestamp":1626131600000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10286-020-00710-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,13]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["710"],"URL":"https:\/\/doi.org\/10.1007\/s10286-020-00710-4","relation":{},"ISSN":["0959-9851","1619-1560"],"issn-type":[{"value":"0959-9851","type":"print"},{"value":"1619-1560","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,13]]},"assertion":[{"value":"6 May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study does not contain clinical studies or patient data. Ethics committee approval was not necessary for this work.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}