POST-MICTURITION SYNCOPE
Authors: George B. Prozan, Allen Litwin
Journal: Annals of Internal Medicine (1961)

Article1 January 1961POST-MICTURITION SYNCOPEGEORGE B. PROZAN, ALLEN LITWINGEORGE B. PROZAN, ALLEN LITWINAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-54-1-82 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCardiovascular collapse has been associated with forced expiration against a closed glottis (Valsalva's maneuver) since ancient times. Galen, Valerius Maximus, and Appianus of Alexandria were all aware that convulsions and death could be caused by breath-holding.1Scientific investigation of this phenomenon was not done until Eduard Weber noted in 1850 that fainting and obliteration of the peripheral pulse occurred during this maneuver. Subsequently it was discovered that Valsalva had previously described this phenomenon during the 18th century. During the late 19th and 20th centuries many articles were written on the deliberate application of this maneuver to test the competency of...Bibliography1. Dawson PM: An historical sketch of the Valsalva experiment, Bull. His. Med. 14: 295-320, 1943. Google Scholar2. McGuireGreenCourterHauensteinBraunsteinPlessingerIglauerNoertker JRSSVJRVAJ: Bed pan deaths, Trans. Amer. Clin. Climat. Ass. 60: 78-85, 1949. Google Scholar3. HalpernShaftelSelmanBirch ANDHG: The cardiovascular dynamics of bowel function, Angiology 9: 99-111, 1958. CrossrefMedlineGoogle Scholar4. McIntoshEstesWarren HDEHJV: The mechanism of cough syncope, Amer. Heart J. 52: 70-82, 1956. CrossrefMedlineGoogle Scholar5. ProudfitForteza WLME: Micturition syncope, New Engl. J. Med. 260: 328-331, 1959. CrossrefMedlineGoogle Scholar6. SarnoffHardenberghWhittenberger SJEJL: Mechanism of the arterial pressure response to the Valsalva test: The basis for its use as an indicator of the intactness of the sympathetic outflow, Amer. J. Physiol. 154: 316-327, 1948. CrossrefMedlineGoogle Scholar7. GorlinKnowlesStorey RJHDF: The Valsalva maneuver as a test of cardiac function, Amer. J. Med. 22: 197-212, 1957. CrossrefMedlineGoogle Scholar8. GoldbergElisbergKatz HEILN: The effects of the Valsalva-like maneuver upon the circulation in normal individuals and patients with mitral stenosis, Circulation 5: 38-47, 1952. CrossrefMedlineGoogle Scholar9. GardbergRosen MIL: The ventricular gradient of Wilson, Ann. N. Y. Acad. of Sci. 65: 873-893, 1957. CrossrefMedlineGoogle Scholar10. ElisbergMillerSingianKatz EIGELN: The effect of the Valsalva maneuver on the circulation. III. The influence of heart disease on the expected post-straining overshoot, Circulation 7: 880-889, 1953. CrossrefMedlineGoogle Scholar11. CohnMacLeod AEAG: The effect of acetylcholine on the mammalian heart, Amer. Heart J. 21: 356-364, 1941. CrossrefGoogle Scholar12. LiebowHellerstein IMHK: Factors influencing the T wave of the electrocardiogram. III. Non-chronotropic changes produced by acetylcholine, Amer. Heart J. 41: 266-279, 1951. CrossrefMedlineGoogle Scholar13. SmithWilson JRKS: Studies on the production and maintenance of experimental auricular fibrillation, Amer. Heart J. 27: 176-185, 1944. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication May 23, 1960.From the Department of Internal Medicine, U. S. Army Hospital, Sandia Base, Albuquerque, New Mexico.Requests for reprints should be addressed to George B. Prozan, Capt. (MC), USAR, U. S. Army Hospital, Sandia Base, Albuquerque, New Mexico. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byUrodynamic and cardiovascular measurements in patients with micturition syncopeDiagnostic evaluation of syncopeSyncope, seizures and stressNATURAL HISTORY OF MICTURITION SYNCOPEParoxysmal hypertension in aortitis syndromeMicturition syncopeCirculatory Control in Idiopathic Orthostatic Hypotension (Shy-Drager Syndrome)Micturition Syncope Produced by Orthostasis and Bladder DistentionSyncopeSyncope in advanced A-V block induced by micturition 1 January 1961Volume 54, Issue 1Page: 82-89KeywordsArrhythmiaAtrial fibrillationConvulsionsElectrocardiographyHeartHeart rateHospital medicineSyncope ePublished: 1 December 2008 Issue Published: 1 January 1961 PDF downloadLoading ...