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On Sabbatical

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TITLE: Urodynamic and cardiovascular measurements in patients with micturition syncope.
AUTHOR: Sakakibara R; Hattori T; Kita K; Yamanishi T; Yasuda K
AUTHOR AFFILIATION: Department of Neurology, Chiba University School of Medicine, Japan. sakaki@med.m.chiba-u.ac.jp
SOURCE: Clin Auton Res 1997 Oct;7(5):219-21
NLM CIT. ID: 98037021
ABSTRACT: We describe the findings of urodynamic studies, together with blood pressure and heart rate monitoring, in five patients with micturition syncope. All patients had almost normal storage and evacuation function and no evidence of prostate hypertrophy. Conventional head-up tilt testing with an empty urinary bladder caused no change in arterial blood pressure, but a moderate increase in heart rate. Urinary bladder filling caused minimal increases of the arterial pressure and heart rate. The sitting posture with a distended bladder caused mild orthostatic hypotension. Urinary bladder evacuation caused a fall in arterial pressure with a decrease in heart rate. These responses were similar to those described in vasovagal syncope. The central mechanism for the initiation of urinary evacuation, or sensory input from the lower urinary tract, may trigger micturition syncope.
MAIN MESH SUBJECTS: Hemodynamics/*PHYSIOLOGY
Syncope/*PHYSIOPATHOLOGY
Urodynamics/*PHYSIOLOGY
ADDITIONAL MESH SUBJECTS: Adult
Aged
Blood Pressure/PHYSIOLOGY
Female
Heart Rate/PHYSIOLOGY
Human
Male
Middle Age
Tilt-Table Test
Urination/PHYSIOLOGY
PUBLICATION TYPES: JOURNAL ARTICLE
LANGUAGE: Eng

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On Sabbatical!

When my office lease expired at the end of 2004, I decided to turn it into a "sabbatical" from my private practice. Many years ago, in my grandfather's 89th year of life, he told me, "John, it is important to smell the roses while you can still smell them." His life gave living a very good reputation. It is also true that the pursuit of that philosophy required my grandfather to to re-open his assay office/ore market in Wickenburg, Arizona as a 75-year-old because he had run a little short of retirement money. Thus, if blessed with his luck and health, I'll be back.. --jjh

Copyright 1998-2007  John J. Herr, Ph.D.                                   Please send comments to jjherr@clinicalpsychologist.com