Simon Milstein: Influence Statistics

Simon Milstein

Simon Milstein

From the Cardiac Arrhythmia Center (R.J., G.A.T., S. Sattiraju, J.N., S. Sakaguchi, F.L., C.E., S.M., K.L., D.G.B.), Cardiovascular Division, Department of Medicine, ...

Simon Milstein: Expert Impact

Concepts for which Simon Milstein has direct influence: Atrial fibrillation , Surgical ablation , Cycle length , Intravenous diltiazem , Recurrent syncope , Accessory pathway , Atrioventricular node .

Simon Milstein: KOL impact

Concepts related to the work of other authors for which for which Simon Milstein has influence: Atrial fibrillation , Vasovagal syncope , Supraventricular tachycardia , Accessory pathway , Catheter ablation , Heart rate , Tilt test .

KOL Resume for Simon Milstein


From the Cardiac Arrhythmia Center (R.J., G.A.T., S. Sattiraju, J.N., S. Sakaguchi, F.L., C.E., S.M., K.L., D.G.B.), Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minn; and Central Minnesota Heart Center (L.V.H., S.M., K.L., D.G.B.), St Cloud, Minn.


Central Minnesota Heart Center, St. Cloud Hospital, St. Cloud, Minnesota.


Minneapolis Heart Institute, Minneapolis, Minnesota


Minneapolis Heart Institute, Minneapolis. Minnesota


Minneapolis Cardiology Associates, Minneapolis, Minnesota


From the Minneapolis Heart Institute, Minneapolis, Minnesota, USA


From the Departments of Medicine (Cardiovascular Division) and Pediatrics (Pediatric Cardiology), University of Minnesota Medical School USA


From the Departments of Medicine, Surgery and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota USA

Departments of Medicine (Cardiovascular Division)


From the Departments of Medicine (Cardiovascular Division), Pediatrics and Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA

Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota


Departments of Medicine, University Medical School, Minnesota, MN

From the Arrhythmia Service, Cardiac Investigation Unit, University Hospital, London, Ontario, Canada

Department of Pediatrics, Medicine, and Laboratory Medicine, University of Minnesota Hospital and the Variety Club Children's Hospital, Minneapolis, Minnesota, U.S.A.

University of Minnesota, Minneapolis, Minnesota, USA


London, Ontario, Canada

Departments of Medicine, Pediatrics and Surgery, University of Minnesota Medical School, Minneapolis, Minnesota, USA


From the Departments of Medicine and Surgery, University Hospital, London, Ontario, Canada


Cardiac Investigation Unit, University Hospital, London, Ontario, Canada


Cardiac Electrophysiology Laboratory, Department of Medicine, University Hospital, London, Ontario, Canada

Prominent publications by Simon Milstein

KOL-Index: 12642 . Neurally mediated hypotension and bradycardia are believed to be common causes of syncope. We used the "upright-tilt test" (duration, less than or equal to 10 minutes) with or without an infusion of exogenous catecholamine (isoproterenol [1 to 5 micrograms per minute], given intravenously) to elicit bradycardia, hypotension, or both in 24 patients with recurrent syncope and in 18 control ...
Known for Recurrent Syncope | Hypotension Bradycardia | Isoproterenol Infusion | Tilt Test
KOL-Index: 11264 . The effect of surgical ablation of ablation of atrioventricular accessory pathways on the incidence of atrial fibrillation in patients with Wolff-Parkinson-White syndrome was examined and the results of preoperative electrophysiologic testing were studied to determine factors predictive of outcome. Among 50 consecutive surgical cases, 19 patients were identified with a past history of at ...
Known for Atrial Fibrillation | White Syndrome | Accessory Pathway | Surgical Ablation
KOL-Index: 10270 . Head-up tilt testing has gained acceptance as a tool for assessing susceptibility to neurally mediated syncopal syndromes (e.g., vasovagal syncope), and is currently being evaluated as a means of testing therapeutic interventions in these conditions. To assess reproducibility of head-up tilt testing and thereby assess the potential of such testing for immediate evaluation of a planned ...
Known for Syncope Tilt | 23 Patients | Neurally Mediated | Structural Heart Disease
KOL-Index: 10110 . To assess the efficacy and safety of intravenous diltiazem, 54 patients with inducible sustained supraventricular tachycardia received diltiazem, 0.25 mg/kg or 0.25 mg/kg, followed by 0.35 mg/kg body weight, or placebo in a double-blind, randomized study. Twenty patients had atrioventricular (AV) node reentrant tachycardia, whereas 34 had orthodromic AV reciprocating tachycardia associated ...
Known for Intravenous Diltiazem | Supraventricular Tachycardia | Sinus Rhythm | 20 Patients
KOL-Index: 8703 . Susceptibility to transient hypotension-bradycardia of neurally mediated origin has been attributed in part to accentuated afferent neural traffic arising from cardiopulmonary mechanoreceptors, and consequently, may be diminished by agents with anticholinergic and negative inotropic effects, such as disopyramide phosphate. This study assessed electrocardiographic and hemodynamic responses ...
Known for Upright Tilt | 10 Patients | Heart Rate | Hypotension Bradycardia
KOL-Index: 8222 . Preexcitation of the atria during reciprocating tachycardia (RT) by a premature ventricular complex occurring when the His bundle is refractory provides direct evidence of the presence of accessory atrioventricular (AV) connection. The impact of ventricular stimulation site and RT cycle length on inducibility of atrial preexcitation was assessed in 38 patients with RT utilizing a single ...
Known for Cycle Length | Atrial Preexcitation | Free Wall | Premature Cardiac Pacing
KOL-Index: 7801 . Two patients are described who had recurrent and long-standing atrial flutter of the common type and were referred for electrophysiologic testing and surgical management. In both patients, atrial flutter could be initiated and terminated by programmed stimulation. Atrial endocardial mapping showed earliest activation during flutter at the orifice of the coronary sinus, with activity ...
Known for Atrial Flutter | Common Type | Coronary Sinus | Operative Therapy
KOL-Index: 7770 . Electrophysiologic testing in patients with asymptomatic Wolff-Parkinson-White syndrome (WPW) may be useful in defining arrhythmic substrates and predictors of fatality. Forty-two patients with asymptomatic WPW, mean age 36 years, underwent electrophysiologic studies and were followed prospectively. They were compared with a matched control group of patients studied within the same period ...
Known for Asymptomatic Wolff | Electrophysiologic Profile | Accessory Pathway | Wpw Syndrome
KOL-Index: 7761 . We have described a closed-heart technique for division of atrioventricular (AV) pathways in Wolff-Parkinson-White (WPW) syndrome. The technique involves dissection and mobilization of the AV fat pad with exposure and cryoablation of the AV junction at the site of the AV pathways. One hundred five consecutive patients with WPW syndrome with left ventricular free wall (74), posterior septal ...
Known for White Syndrome | Pathway Conduction | Closedheart Technique | Patients Operation
KOL-Index: 7650 . Concomitant susceptibility to atrioventricular (AV) node reentrant tachycardia has been demonstrated in certain patients having reentrant tachycardia utilizing accessory AV connections. For those patients undergoing accessory connection ablation, AV node surgical modification may be warranted during the same operative procedure. To assess indications for a combined operative procedure, ...
Known for Surgical Ablation | Atrioventricular Node | Reentrant Tachycardia | Pathways Patients
KOL-Index: 7428 . This study assessed the temporal relation of RR interval, AH interval and systemic blood pressure changes during induced symptomatic bradycardia-hypotension episodes in 14 patients with recurrent syncope suspected of being neurally mediated. Upright tilt with isoproterenol reproduced symptoms in 9 of 14 patients (positive response) and was negative in 5 of 14 (negative response). ...
Known for Patients Tilt | Neurally Mediated | Positive Responses | Bradycardia Hypotension
KOL-Index: 7398 . This study examined the effectiveness of intravenous amiodarone for rapid control and prevention of recurrent life-threatening ventricular tachyarrhythmias associated with cardiovascular collapse. In 22 critically ill patients with coronary artery disease (mean ejection fraction 27 +/- 13%), recurrent ventricular tachyarrhythmias proved refractory to 3.7 +/- 1.1 (mean +/- standard ...
Known for Intravenous Amiodarone | Coronary Artery Disease | Rapid Treatment | Threatening Ventricular
KOL-Index: 7058 . Adenosine has become the drug of choice for termination of regular, normal QRS tachycardia. Initial studies in adult and pediatric patients have shown that the drug is effective for tachycardias using the atrioventricular (AV) node as an integral part of the tachycardia circuit and has few serious side effects. Experience with adenosine administration in children was reviewed to examine ...
Known for Ventricular Tachycardia | Children Adenosine | Atrial Fibrillation | Nodal Reentry
KOL-Index: 6841 . It has been proposed that prolonged cardiac asystole mimicking an episode of sudden cardiac death may occur as a manifestation of neurally mediated hypotension-bradycardia syndrome. To assess this possibility, electrocardiographic and hemodynamic findings during upright tilt testing were evaluated in six survivors of suspected asystolic sudden cardiac arrest with normal conventional ...
Known for Cardiac Asystole | Heart Rate | Neurally Mediated | Patients Syncope

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From the Cardiac Arrhythmia Center (R.J., G.A.T., S. Sattiraju, J.N., S. Sakaguchi, F.L., C.E., S.M., K.L., D.G.B.), Cardiovascular Division, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minn; and Central Minnesota Hea