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From: Bobbie496@aol.com
Date: 4/26/00
Time: 7:44:29 PM
Remote Name: 205.188.193.46
Dr. Herr,
After reading your comments on your site I realized that I may have this. I have recently been to a cardiologist thinking I had heart problems. He diagnosed me as having scoliosis. He was demonstraiting to my mother what he called the vagal effect by pushing on the front and back of one of my ribs which caused me to come close to blacking out. I had to sit down right away. I could feel heat rising off of my body and the back of my hear, I was shakie and I felt nauseated. I am 17 years old, and I also feel some of the symptom's mentioned. After eating I feel nauseated, I get really hot, come close to passing out, and often feel dizzy. If you could possibly help me find out what all of this is caused by please email me at Bobbie496@aol.com thank you.
From: Bill
At age 57, I'm having a Pacemarker discussion this week with my doctor. I blacked out 20 ninutes into a 60 degree upright tilt table test and was without heartbeat for 10 seconds - I don't know if I recovered on my own or it was the atropine injection that revived me - is that an unsual tilt table experience?
I wouldn't say I have "active" vasovagal episodes but in January I had an alcohol induced V V and 3 months prior to that I passed out several times, intitiated when I tried to walk on a foot that had gone to sleep.
After further thought, I remembered that, as a 10-13 year old, I would black out when I yawned - the yawn would be followed immediately by an intense headache and I would fall down. After coming to, I think I felt weak but recovered in a reasonably short time. Doctors at that time said I was anemic and needed vitamin "D" and such. I've been on Pindolol 5mg for a week and I would describe side-effects I've had as fairly mild: just a touch of drowsiness that goes away after an hour and a subdued feeling.
I'm wondering if I can condition (train) myself to eliminate the adverse vasovegal response.