Skip to Main ContentSkip to Footer

Autonomic Dysfunction

Vanderbilt University Medical Center has one of the only specialized Autonomic Dysfunction programs in the U.S. We bring together cardiologists, neurologists and other specialists to care for unstable blood pressure and other conditions caused by an autonomic nervous system disorder.

Conditions We Treat

  • Autoimmune autonomic neuropathy
  • Baroreflex failure
  • Diabetic autonomic neuropathy
  • Dopamine beta-hydroxylase deficiency
  • Multiple system atrophy (MSA)
  • Non-diabetic autonomic neuropathy
  • Norepinephrine transporter deficiency

Meet Your Care Team

Italo O. Biaggioni

Italo O. BiaggioniMD

    Autonomic Diseases, Cardiovascular Medicine, General Cardiology
Cyndya A. Shibao Miyasato

Cyndya A. Shibao MiyasatoMD, MSCI

    Autonomic Diseases, Cardiovascular Medicine, General Cardiology
Huck Muldowney

Huck MuldowneyIII, MD

    Autonomic Diseases, Cardiac Imaging, Cardiovascular Medicine, General Cardiology, Syncope /Fainting, Transesophageal Echo
Amanda C. Peltier

Amanda C. PeltierMD

    Neurology, Neuromuscular Disorders, Neurosciences

Why Choose Autonomic Dysfunction at Vanderbilt

  • physician, doctor, stethoscope, Skilled clinicians
    Skilled clinicians

    Our doctors have specialized training in diagnosing and treating autonomic dysfunction. We were the first program in the U.S. devoted to patient care, research and education in autonomic dysfunction. As leading experts, our doctors also serve in the organizations responsible for establishing national guidelines for patient care.

  • medical chart, clipboard, cross, Knowledge and experience
    Knowledge and experience

    Doctors across the nation refer their autonomic dysfunction patients to Vanderbilt. As one of the busiest programs anywhere, our experience means expert care for you. We offer specialized evaluation and testing not available at most medical centers.

  • conference, Team approach, people, staff, partners
    Team approach

    We work together to ensure that you receive the comprehensive care you need. Our team members collaborate with each other, as well as with experts in other medical disciplines, to provide you with individual care that addresses your unique needs.

  • health record, pharmacy
    Specialty pharmacy

    Our specialty pharmacists ensure that you have the right medications and know how to take them. They can advise you on lab monitoring and financial assistance, if needed.   

  • microscope, Advanced care
    Advanced care

    As part of an academic medical center, we are leaders in caring for the most complex conditions. Our commitment to research means that you receive the most current, advanced treatment available.

  • survey, clipboard, Clinical trials
    Clinical trials

    As part of an academic medical center, we offer access to some of the most promising new approaches being tested in clinical trials. Find a clinical trial

Tests, Treatments and Services

We offer a full range of tests, treatments and services, including:

  • Blood volume assessment
  • Motor reflex testing
  • Neurohormonal assessment
  • Paraneoplastic antibody panel
  • Standardized autonomic function testing
  • Tilt-table test


1215 21st Avenue South, 5th Floor
Nashville, TN 37232

Related Programs and Clinics