[Indaemed_Freelist.Org] Re: [indaemed] Re: Syncope evaluation [wasRe: Re: NMS]
- From: Lt Col KK Tripathi <tripfamily@xxxxxxxx>
- To: indaemed@xxxxxxxxxxxxx
- Date: Sat, 20 Mar 2004 22:44:04 +0530
Sir,
This observation was made during his second exposure to hypoxia at the
'OTHER
CENTRE' referred to by Wg Cdr Sharma .
I was in attendance. Pulse oximetry was available throughout (except when he
fell and probe got detached).
Details are available in my posting dt 19 Mar 2004. Additionally, he had
cold clammy extremities (nose included).
There was no confusion, lethargy or fatigue.
I did not notice any myoclonia.
With regards,
Lt Col KK Tripathi
----- Original Message -----
From: "USM Bish" <bish@xxxxxxxxxxx>
To: <indaemed@xxxxxxxxxxxxx>
Sent: Saturday, March 20, 2004 8:37 PM
Subject: [Indaemed_Freelist.Org] Re: [indaemed] Re: Syncope evaluation [was
Re: Re: NMS]
> On Sat, Mar 20, 2004 at 10:06:04AM +0530, Lt Col KK Tripathi wrote:
> > Dear Wg Cdr Bish,
> >
> > As far as I remember, EEG even after provocation, was non contributory.
> >
> > No abnormality was detected in CT/MRI.
> >
> > A low pulse rate falling to 37 per minute (and remaining so for a good
15-20
> > sec) is more in favour of VVS.
> >
>
> This is a new input. Could you elaborate ? The pulse rate
> quoted after the first syncopal attack was 58. When was this
> recorded ?
>
> All that I tried to do was to make some interpretations of the
> statements made on the first syncopal episode. VVS does not
> explain the following:
>
> o Non-purposeful freeze before the first syncope
> o Peri-orbital and peri-oral myoclonia described
> o Post syncopal lethary lasting better part of the day
>
> Bish
>
> --
> :
> --------------------------------------------------------------
> Wg Cdr (Retd) US Mohalanobish bish@xxxxxxxxxxx
> GF-01, Carleston Classic usmbish@xxxxxxxxxxxxxx
> 03, Carleston Road +91-80-30611448
> Cooke Town, Bangalore - 560005 98451-71863 (Mobile)
> ----------------------------[http://geocities.com/usmbish/]--
> :
>
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