Swallowing syncope. A case report.
A previously healthy man complained of syncopes and convulsions during meals. Despite thorough gastroenterologic, neurologic and cardiologic examination, the condition was misinterpreted as a psychiatric disorder for 13 years. Then ambulatory ECG, using a casette recorder, revealed periods of 2nd degree AV block during swalllowing. Pacemaker implantation prevented the attacks.
D000553:Ambulatory Care; D003679:Deglutition; D003951:Diagnostic Errors; D004562:Electrocardiography / Q000295:instrumentation; D006327:Heart Block / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013575:Syncope / Q000209:etiology*