Head-up tilt table testing had been used as an investigative tool in the pathophysiology of orthostatic stress for more than 50 years, before the initial demonstration of its utility in the diagnosis of unexplained syncope. The Westminster group’s landmark study found that 67% of patients with otherwise unexplained syncope demonstrated a vasovagal reaction during head-up tilt, compared to only ...

The aim of this European Heart Rhythm Association (EHRA) survey was to provide an insight into the current practice of work-up and management of patients with syncope among members of the EHRA electrophysiology research network. Responses were received from 43 centres. The majority of respondents (74%) had no specific syncope unit and only 42% used a standardized assessment protocol or algorith...

Although the genetic basis of the congenital form of myotonic dystrophy has recently been clarified, data as to outcome in terms of life expectancy and morbidity are scanty. Life table data based on a cohort of 115 patients with a confirmed diagnosis of congenital myotonic dystrophy are presented. The data suggest a 25% chance of death before 18 months of age and a 50% chance of survival into t...

OBJECTIVES This study was done to evaluate pacemaker therapy for severe recurrent vasovagal syncope. BACKGROUND Nonrandomized studies have suggested that permanent pacing might help control the symptoms of recurrent vasovagal syncope. The study goal was to evaluate the effect of permanent pacemaker implantation on syncope in patients with frequently recurrent vasovagal syncope. METHODS Pati...

Tilt table test (TTT) is a standard examination for patients with suspected autonomic nervous system (ANS) dysfunction or uncertain causes of syncope. Currently, the analytical method based on blood pressure (BP) or heart rate (HR) changes during the TTT is linear but normal physiological modulations of BP and HR are thought to be predominately nonlinear. Therefore, this study consists of two p...

INTRODUCTION Since 2000, the world has been coalesced around efforts to reduce maternal mortality. However, few studies have estimated the significance of eliminating maternal deaths on female life expectancy. We estimated, based on census data, the potential gains in female life expectancy assuming complete elimination of pregnancy-related mortality in Zambia. METHODS We used data on all-cau...

Two hundred and sixty seven patients with duodenal ulceration were entered into a five year study of two strategies of treatment with cimetidine. Two thirds were treated continuously with 400 mg at bedtime supplemented by temporary increases in dosage if they had symptomatic relapses (group 1), and the remaining third were given intermittent "healing" doses for four to eight weeks if a symptoma...

The human visual system continuously adjusts to the current environment. To investigate these adjustments, biases in observers' perceptions owing to changes in the visual environment are measured (visual aftereffects). Typically, the stimuli used are synthetic and are composed of oriented patterns such as lines or gratings. These patterns are known to activate individual neurons in the visual c...

PURPOSE Over the last few years, particular attention has been paid to the implant surface and its influence on the formation and maintenance of surrounding bone. The surface of Osseotite implants (Implant Innovations) is produced by a process of thermal etching, which produces a surface with an average roughness that is twice that of machined implants produced by the same manufacturer. In addi...

A L T H O U G H tilt table procedures have been used extensively in the study of the circulatory system, most studies have been with subjects in the feet-down position. 1,2 The tilt table provides a means of studying the influence of g force upon the circulatory system. When an individual is strapped to the tilt table, feet down, in the vertical position r he is exposed to + 1 g. When tilted to...