title: Successful treatment of deglutition syncope with oral beta-adrenergic blockade.
abstract: A case of deglutition syncope of 20 years' duration in a patient without cardiac or esophageal disease is presented. The therapeutic efficacy of beta-blockade is documented by symptomatic improvement, repeat esophageal balloon inflation and tilt-table testing. This suggests the Bezold-Jarisch reflex or sympathetic nervous system may be involved in the pathogenesis of deglutition syncope.
authors.affiliation: Division of Cardiology, University of British Columbia, Vancouver.
authors.forename: T M
authors.initials: TM
authors.lastname: Marshall
authors.forename: H F
authors.initials: HF
authors.lastname: Mizgala
authors.forename: J A
authors.initials: JA
authors.lastname: Yeung-Lai-Wah
authors.forename: U P
authors.initials: UP
authors.lastname: Steinbrecher
mesh_terms: D000284:Administration, Oral; D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage / Q000627:therapeutic use*; D003680:Deglutition Disorders / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000188:drug therapy / Q000209:etiology*; D014666:Vasomotor System / Q000187:drug effects / Q000503:physiopathology
chemical_list: D000319:Adrenergic beta-Antagonists