For colleagues

Information for clinicians

How to refer a patient, which studies we perform, and how the report is delivered. The laboratory is built for neurology, internal medicine, cardiology, rheumatology, and pediatrics.

How to refer

  1. 01

    A short note is enough: reason, medications, prior studies, and whether there is orthostatic hypotension, syncope, parkinsonism, or neuropathy.

  2. 02

    Write to appointments or to clinical direction. WhatsApp also works to coordinate site and preparation.

  3. 03

    A formal referral is not required. If you have one, it shortens the path.

Studies we perform

  • Tilt-table testing with beat-to-beat monitoring and continuous cerebral blood flow (transcranial Doppler ultrasound)
  • Transcranial ultrasound with a tilt-table protocol for patients with stroke of undetermined etiology (cryptogenic)
  • EEG and brain mapping
  • Cognitive screening
  • Movement evaluation
  • Evaluation of the sense of smell
  • Functional bladder ultrasound
  • Thermography
  • Coming soon: sudomotor evaluation (Sudoscan)
  • In-person or virtual visits, including pediatrics

ANS diseases

Map of autonomic nervous system diseases that guide the evaluation. Santa Fe Laboratory.

Map of autonomic nervous system diseases that guide the evaluation. Santa Fe Laboratory.

When evaluation is indicated

We use the laboratory’s 2026 algorithm. Red is not an emergency-department alert: it means autonomic testing is indicated from the start.

Autonomic evaluation assessment traffic lights, 2026. Santa Fe Clinical Research Laboratory.

Autonomic evaluation assessment traffic lights, 2026. Santa Fe Clinical Research Laboratory.

What the recording looks like

Control: healthy 73-year-old adult

Autonomic evaluation report: protocol traces and heart-rate variability analysis

Report from a protocol in a healthy 73-year-old adult: blood pressure and pulse, middle-cerebral-artery transcranial Doppler, and heart-rate variability (PNS/SNS indices).

Autonomic failure: 69-year-old man

Autonomic evaluation report in a 69-year-old man with autonomic failure

The same report in a 69-year-old man with autonomic failure. Deep-breathing heart-rate response 2.1 bpm; PNS −0.88, SNS 2.90. Santa Fe Dysautonomia Center.

The report

The patient receives a clear report with findings, implications, and recommendations. If you are the treating physician, we can send a copy with the patient’s consent.

Research

The laboratory documents dysautonomia and movement-disorder phenotypes in Mexican populations. Collaborations and protocols are on ResearchGate.

ResearchGate profile