Patrick Reich

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Sudden cardiac death due to ventricular fibrillation is the leading cause of fatality in the industrially developed world. A considerable body of evidence indicates that the higher nervous system modifies electrical activity of the heart and may trigger sudden death. The evidence for increased risk for ventricular fibrillation due to psychophysiologic(More)
To investigate the prevalence of acute psychological disturbances during the 24 hours preceding life-threatening ventricular arrhythmias, we studied the mental states and psychological experiences preceding arrhythmic episodes in 117 patients who were referred for antiarrhythmic management. Sixty-two had survived cardiac arrest and 55 suffered symptomatic(More)
To obtain an overview of factitious disorders in hospitalized patients we surveyed the cases found in our hospital during a 10-year period. Forty-one disorders were identified including one that was fatal and others that were chronic, severe, and life-threatening. The disorders fell into four subgroups: self-induced infections, simulated illnesses, chronic(More)
To determine whether emotional states could influence susceptibility to type II collagen-induced arthritis in rats, we studied the effects of experimentally produced psychological stress on the clinical, histologic, and immunologic manifestations of this autoimmune disease. Stress, induced by exposure to a cat, abrogated the development of arthritis in rats(More)
We compared the performance of 50 multiple sclerosis (MS) patients and 35 normal controls on a variety of memory tasks to determine the nature and severity of memory deficits in the MS patients and the proportion of patients affected. We also determined the relationship between memory and other cognitive functions, demographic factors, disease(More)
Pragmatic, empirical methods are available for the diagnosis and treatment of narcolepsy. Diagnosis can be based on the history of specific symptoms; a questionnaire scale can reliably confirm sleepiness, while performance tests and other laboratory procedures may illuminate the clinical picture when the diagnosis is unclear. A treatment program includes(More)
Standardized interview techniques, diagnostic criteria, and rating scales were used to assess 50 moderately disabled multiple sclerosis (MS) patients. Fifty-four percent met lifetime Research Diagnostic Criteria for major depression, with a significant increase in the rate from before to after the onset of MS symptoms. The MS patients were significantly(More)