The Future of Heart Disease Screening is Here
R3M Autonomic Nervous System Evaluation
A comprehensive, non-invasive evaluation designed to screen for hidden causes of disease and identify early warning signs before symptoms appear.
Benefits of R3M Evaluation
Early Detection
Identify health issues before symptoms appear, allowing for preventative intervention.
Comprehensive Assessment
Evaluate multiple body systems in a single, non-invasive test.
Personalized Treatment
Develop targeted treatment plans based on your specific results.
Monitor Progress
Track improvements in your health with follow-up evaluations.
Quick & Painless
Complete evaluation in less than 10 minutes with no discomfort.
Immediate Results
Receive your results during the same appointment for immediate discussion.
Screening includes:
Key Screening Areas

Autonomic Nervous System Dysfunction

Cardiac Autonomic Neuropathy

Insulin Resistance

Cardio-Metabolic Risk

Endothelial Dysfunction

Small Fiber Neuropathy

Sudomotor Dysfunction

Cardiovascular Disease


Autonomic Nervous System Dysfunction

Cardiac Autonomic Neuropathy

Insulin Resistance

Cardio-Metabolic Risk

Endothelial Dysfunction

Small Fiber Neuropathy

Sudomotor Dysfunction

Cardiovascular Disease
About the R3M System
The R3M Autonomic Nervous System Evaluation is a state-of-the-art diagnostic tool that provides a comprehensive assessment of your autonomic nervous system function.
This non-invasive evaluation helps identify early warning signs of various health conditions before symptoms become apparent, allowing for proactive intervention and personalized treatment plans.
The RM-3A Autonomic Function Test can have great value in cardiovascular screening and is a helpful diagnostic tool for many chronic symptoms seen with Long COVID, shedding, chronic fatigue and more.
By measuring multiple parameters simultaneously, the R3M system provides a holistic view of your body's regulatory systems, including:
- Autonomic nervous system balance
- Cardiovascular health
- Metabolic function
- Sudomotor (sweat gland) activity
- Small nerve fiber function
- Endothelial (blood vessel lining) health
The evaluation takes less than 10 minutes to complete and provides immediate results that Dr. Mihalcea can interpret during your appointment.
Symptoms That Can Be Evaluated
The R3M system can provide vital information in the work up of symptoms such as:
- Unexplained dizziness, fainting, or weakness
- Abnormal heart rate or blood pressure
- Unusual shortness of breath with exercise or activity
- Frequent gastrointestinal issues, such as nausea, vomiting, diarrhea, or constipation
- Sudomotor symptoms, such as sudden excessive sweating or an inability to sweat
- Diabetes
- Neurological conditions, such as Parkinson's disease, multiple system atrophy, and other neurodegenerative disorders
Specific Conditions That ANS Testing Can Diagnose
Orthostatic Hypotension
A condition where blood pressure drops significantly upon standing, leading to dizziness and fainting.
Postural Orthostatic Tachycardia Syndrome (POTS)
A chronic condition characterized by a significant increase in heart rate when moving from sitting or lying down to standing up, often accompanied by dizziness and lightheadedness. It can also cause gastric problems, vision difficulties, fatigue, headaches, temperature regulation challenges, and trouble concentrating or focusing.
Cardiac Autonomic Neuropathy
This can cause abnormal heart rhythm.
Small Fiber Sensory Neuropathy
A common condition with diabetes that causes tingling or numbness, typically starting in the feet.
Diabetic Autonomic Neuropathy
A complication of diabetes affecting the autonomic nerves, leading to issues like gastroparesis, constipation, bladder dysfunction, erectile dysfunction, sudomotor dysfunction, and cardiovascular problems.
In addition to specific conditions, ANS testing also identifies an increased risk for hypertension, heart attack, stroke, and sudden death.