internal-medicine-pain-management-2018-keynote

2 / 12

International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Volume 4
March 26-28, 2018
Vienna, Austria
Pain Management 2018
Internal Medicine 2018
Page 18
JOINT EVENT
7 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6 t h E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Neil Armstrong syndrome applies both to earth with common
magnesium (Mg) deficits and with Mg deficits invariably
occurring in space (S); this can trigger acute temporary heart
failure i.e., (catecholamine (C) cardiomyopathy). Whereas the
normal CO2 levels on earth are 0.03% in S, during the Euromir
94 missions, levels, over 10 times higher (0.5-0.7% CO2). It
has been postulated that there is, with S flight, an intracellular
shift of calcium (Ca) conducive to vasospasm and damage to
mitochondria. Mg is a Ca blocker and strong antioxidant and is
required for thermoregulation with loss of Mg in sweat and renal
Mg loss and dehydration; this will increase potential for heart
failure and hypertension. C levels in S are twice supine levels
on earth. Armstrong, during his last 20 lunar minutes, notified
Houston twice during a 4 minute interval that he was short of
breath along with heart rates up to 160; tachycardia will intensify
oxidative stress in S from Mg ion deficits, high C, high free fatty
acids and vicious cycles. This syndrome: severe dyspnea, severe
thirst, severe tachycardia corrected by fluid replenishment,
applies to earth as well; it would be more likely to occur in post-
menopausal women with 90% of cases of C cardiomyopathy
reported in this group, marathoners particularly at the finish line
and those in the tropics, particularly with water shortages. It is
likely to be corrected, relatively quickly either by intravenous
fluids or a subcutaneous Mg injection.
Biography
William J. Rowe M.D. FBIS ( Fellow British Interplanetary Society ), FACN
( Fellow American College of Nutrition ), is a board certified specialist in
Internal Medicine. He received his M.D. at the University of Cincinnati and
was in private practice in Toledo, Ohio for 34 years. During that time he
supervised over 5000 symptom - limited maximum hospital-based tread-
mill stress tests. He is a former Assistant Clinical Professor of Medicine at
the University of Ohio, School of Medicine at Toledo. He studied 3 world
class extraordinary endurance athletes and published their exercise---relat-
ed magnesium deficiencies. This triggered a 20 year pursuit of the cardio-
vascular complications of Space flight. He has published in LANCET that
extraordinary, unremitting endurance exercise can injure a perfectly normal
heart. Of only 4 space syndromes, he has published 2: “The Apollo 15 Space
Syndrome” and “Neil Armstrong Syndrome.” He published Neil Armstrong’s
probable lunar acute heart failure. He has been listed in the Marquis Whos
Who of the World from 2002-2009,2013, 2014, 2015, 2016, 2017
Neil Armstrong syndrome
and thermogenesis
William J Rowe
University of Toledo College of Medicine and Life Sciences, USA
William J Rowe, Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-001