Cardiometabolic and autonomic health analysis
Unmeasured is unmanaged
Measura is a suite of roughly fifteen non-invasive assessments that measure how your blood vessels, your autonomic nervous system, your small nerve fibers and your metabolism are actually working — not how they look on a questionnaire. Testing takes place in St. Louis, Missouri, under the medical direction of Dr. Gurpreet Singh Padda, MD, MBA, MHP.
Most of what goes wrong in a body announces itself late. Arteries stiffen for years before a walk becomes painful. Small nerve fibers in the sweat glands of the feet degrade before a blood sugar test looks abnormal. The autonomic nervous system loses the beat-to-beat flexibility that keeps blood pressure steady long before anyone faints. Each of those changes is measurable now, in an office, without a needle or a scan.
FOR PATIENTS
Find the problem before it finds you
What each assessment measures, what it feels like, who should have it, and how to read the report you take home.
FOR PHYSICIANS
Measure what you are already managing
The clinical case, the cognitive and fall-prevention pairing, quality reporting, standing orders, staffing and how the protocol fits an existing schedule.
What Measura measures
Measura is not one test. It is a set of assessments chosen so that each one answers a question the others cannot, and so that the answers can be read together. Browse the full test library.
Circulation and arteries
Ankle-brachial and toe-brachial index, pulse volume recording, arterial stiffness and pulse waveform analysis.
Nerves and the autonomic system
Sudomotor testing of the sweat glands, autonomic function studies, heart rate variability and cardiac autonomic reflex tests.
Metabolism, balance and cognition
Measured metabolic rate, body composition, vestibular and balance testing, cognitive screening and laboratory panels.
Why measure at all
Metabolic health is rarer than most people assume. 12.2% of American adults met a full definition of optimal metabolic health in the National Health and Nutrition Examination Survey for 2009 to 2016 — so roughly 88% of US adults did not. In the Padda Institute patient population the picture is starker still: fewer than 3% of patients overall, and fewer than 1% of chronic pain patients, meet the same definition of metabolic health. Those are practice-reported figures from our own population, not trial outcomes, and individual results vary.
That is not a reason for alarm. It is a reason to look. Almost every one of the changes these assessments detect is easier to influence early than late, and the report you leave with is designed to show a clinician exactly where to start. See how the results are read.
Measura does not diagnose or treat any condition on its own. Every result is interpreted with a clinician who knows your history.
Talk to someone about testing
Tell us what you are trying to find out and we will explain which Measura assessments answer that question, what each one involves, and how the results are reviewed with a clinician.
4477 Woodson Rd, Suite 201, St. Louis, MO 63134. Monday to Friday, 9:00 a.m. to 5:00 p.m. Please do not send symptoms, diagnoses or images through a web form — a website form is not a secure medical channel. Call us with clinical detail.
Common questions
What is Measura?
Measura is a suite of about fifteen non-invasive assessments of vascular, autonomic, small-fiber, metabolic, balance and cognitive function, performed in one appointment and reported together. Learn more in what Measura actually measures.
Does any part of it hurt?
No part of the standard assessment involves a needle, a dye or radiation. Cuffs inflate on the arms and ankles, sensors clip to a finger and a toe, and electrodes rest under the palms and soles. Laboratory work, when it is ordered, involves an ordinary blood draw. Here is what the appointment feels like.
Who should be tested?
Adults over 50 who carry a cardiovascular risk factor, everyone over 70, and anyone who is hypertensive, overweight, a smoker or diabetic. Read why those groups.
Where is the testing done?
At 4477 Woodson Rd, Suite 201, in St. Louis, Missouri. Directions and what to bring.
About Dr. Padda
Dr. Gurpreet Singh Padda, MD, MBA, MHP is the medical director of Measura. He is board certified in anesthesiology, interventional pain management, addiction medicine and obesity medicine, and holds a Master of Business Administration and a Master of Health Professions education degree. He practices in St. Louis, Missouri.
His clinical work sits at the intersection this testing was built for: patients whose pain, fatigue, numbness or dizziness turn out to be driven by vascular, autonomic and metabolic problems that nobody had measured. Measura exists because he kept finding those problems late, and wanted a way to find them earlier. Read more about Dr. Padda.
Board certifications, societies and affiliations
Certificate and license numbers are deliberately not published. Dr. Padda’s National Provider Identifier is 1427035955.
Medically reviewed by Dr. Gurpreet Singh Padda, MD, MBA, MHP, medical director of Measura. Last reviewed .