Biomedical subjects
Blair P Grubb
Publications and source records attributed to Blair P Grubb.
The harvest.
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May-Thurner syndrome: A vascular abnormality encountered during electrophysiologic study.
In the course of clinical practice the electrophysiologist may encounter a variety of vascular abnormalities which are important to recognize, as they may impact upon the health and welfare of the patient. We describe a case of iliac vein compression (May-Thurner) syndrome and review its etiology, diagnosis, significance, and treatment.
Once a fainter, always a fainter?
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The postural tachycardia syndrome: a concise guide to diagnosis and management.
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Neurocardiogenic syncope and related disorders of orthostatic intolerance.
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Clinical practice. Neurocardiogenic syncope.
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Evaluation of syncope.
Syncope is not an uncommon condition. The evaluation can be as frustrating as the treatment. The role of a detailed history and physical examination cannot be underestimated and both remain a cornerstone in the evaluation of syncope. A systematic approach may not only lead to correct diagnosis in most cases, but also ultimately will be cost effective. This review emphasizes the systematic approach for the evaluation of this challenging problem.
Dancing with the crab--for Debbi.
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Permanent cardiac pacing as primary therapy for neurocardiogenic (reflex) syncope.
Recurrent reflex (or neurocardiogenic) syncope is a common clinical problem. Pacemaker therapy has been advocated as a potential therapy in severe or drug refractory cases of reflex syncope, while others have suggested that it may provide a benefit if employed as a primary therapeutic modality. The following paper reviews the concepts behind pacemaker therapy for reflex syncope and the results of various clinical trials that have evaluated its potential utility as a primary therapeutic modality.
Defaecation syncope: new light on an old problem.
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Etiologic considerations in the patient with syncope and an apparently normal heart.
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Treatment of postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia.
Postural orthostatic tachycardia syndrome and inappropriate sinus tachycardia are two clinically different entities but with significant overlap of symptoms. Treatment by and large is medical; however, other modalities of treatment are being evaluated.
With a little more soul.
In addition to the well-publicized problems with reimbursement and manpower in electrophysiology, there is a less well publicized crisis brewing in regards to physicians' social and mental health. The last decades have witnessed tremendous increases in divorce, alcoholism, substance abuse, and suicide among physicians. While the causative factors involved are complex and varied they are, in part, related to a loss of the "soul" in modern medical practice. The following paper tries to address the factors behind this loss and suggests ways to correct it.