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    Tilt training, for recurrent neurocardiogenic syncope - Effectiveness, patient compliance, and scheduling the frequency of training sessions
    (Japan Heart Journal, Second Dept Of Internal Med, 2004) Kınay, Ozan; Yazıcı, Mehmet; Nazlı, Cem; Acar, Gürkan; Gedikli, Ömer; Altınbaş, Ahmet; Ergene, Oktay
    Unsatisfactory results obtained with medical therapy and dual-chamber pacing for prevention of recurrent neurocardiogenic syncope necessitated the development of new treatment modalities. Tilt-training, a novel treatment for recurrent neurocardiogenic syncope based on exercise sessions with prolonged upright posture (either oil a tilt-table or standing on foot against a wall), was shown to be effective in preventing the recurrence of neurocardiogenic syncope. The purpose of this study was to demonstrate the long-term beneficial effects of a transient tilt training program lasting 2 months. Thirty-two patients with recurrent neurocardiogenic syncope (mean number of syncope episodes in the last 6 months was 3.4 +/- 2.3) constituted the study group. All of the patients were tilt test positive. The patients were taught a tilt training progam with 2 phases (in-hospital training with repeated tilt procedures until 3 consecutive negative results were obtained and home exercises with standing against a wall) and home exercises lasted a maximum of 2 months. After this training program, the patients received no treatment and were followed for the recurrence of syncope. At the end of the follow-up period (376 45 days), 81% of the patients were free of recurrent syncope. This study revealed that similar successful results can also be obtained with a transient tilt training program as a first line treatment strategy. Less interference with the daily activities of the patients is the major advantage of this strategy. The ease of performance and high effectiveness rate will most likely result in more frequent utilization of this treatment modality.
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    Transient cortical blindness after cardiac catheterization with iobitridol
    (Texas Heart Inst, 2007) Yazıcı, Mehmet; Özhan, Hakan; Kınay, Ozan; Kılıçaslan, Barış; Karaca, Mustafa; Çeçe, Hasan; Ergene, Oktay
    The occurrence rate of transient cortical blindness after contrast media exposure has been reported to be as high as 1% to 4% after cerebral or vertebral angiography, but such blindness has been described in only a few cases of coronary angiography with modem, non-ionic, low-osmolality radio-contrast agents. In this study we present a case of abrupt cortical blindness after exposure to contrast media during diagnostic coronary angiography; to our knowledge, this is the 1st report in the medical literature that describes transient cortical blindness after iobitridol use.