john herr psychologist los gatos saratoga california

On Sabbatical

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TITLE: Vasovagal syncope: asystole provoked by head-up tilt testing under sertraline therapy.
AUTHOR: Lenk MK; Alehan D; Ozme S; Celiker A; Ozer S
AUTHOR AFFILIATION: Department of Pediatrics, Hacettepe University, Faculty of Medicine, Ankara, Turkey.
SOURCE: Turk J Pediatr 1997 Oct-Dec;39(4):573-7
NLM CIT. ID: 98094728
ABSTRACT: Syncope is defined as a sudden transient loss of consciousness. Vasovagally mediated hypotension and bradycardia are believed common, yet difficult to diagnose, causes of syncope in healthy children and adolescents. These episodes are often both sudden and sporadic in nature and, if recurrent and severe (malignant vasovagal syncope), can be a source of morbidity and possibly mortality. Head-up tilt testing has emerged as a useful investigation in patients who are thought to have recurrent vasovagal syncope with systemic hypotension, bradycardia, or both, and it has been suggested as a potential method to test for vasovagal episodes. Sertraline hydrochloride, a serotonin reuptake inhibitor, has been reported to be effective in preventing the vasovagal syncopal episodes in children and adults. Here, two cases of recurrent, unexplained syncope are presented. Both were under sertraline therapy and underwent provocative head-up tilt testing that resulted in asystole.
MAIN MESH SUBJECTS: Heart Arrest/*ETIOLOGY/PHYSIOPATHOLOGY
Serotonin Uptake Inhibitors/*THERAPEUTIC USE
Syncope, Vasovagal/COMPLICATIONS/*DIAGNOSIS/*PREVENTION & CONTROL
*Tilt-Table Test
1-Naphthylamine/*ANALOGS & DERIVATIVES/THERAPEUTIC USE
ADDITIONAL MESH SUBJECTS: Adolescence
Case Report
Child
Female
Human
PUBLICATION TYPES: JOURNAL ARTICLE
LANGUAGE: Eng
REGISTRY NUMBERS: 0 (Serotonin Uptake Inhibitors)
134-32-7 (1-Naphthylamine)
79617-96-2 (sertraline)

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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