title: Swallow syncope associated with paroxysmal atrial fibrillation.
abstract: Swallow or deglutition syncope is a very unusual potentially lethal but treatable disorder. We report the case of a 26-year-old woman, who presented with a history of recurrent, multiple fainting episodes precipitated by swallowing. Twenty-four-hour manometry and pH recording together with continuous 24-h ECG monitoring revealed multiple episodes of symptomatic and asymptomatic paroxysmal atrial fibrillation, and significant gastro-oesophageal reflux associated with swallowing. Oesophageal function tests and continuous electrocardiographic evaluation is important in the diagnosis of this rare condition.
authors.affiliation: Department of Cardio Thoracic Surgery, Yorkshire Heart Centre, Jubilee Wing, D-Floor, The General Infirmary, Leeds, UK.
authors.forename: Jackie
authors.initials: J
authors.lastname: Gordon
authors.forename: Syed M
authors.initials: SM
authors.lastname: Saleem
authors.forename: Dumbor L
authors.initials: DL
authors.lastname: Ngaage
authors.forename: James A C
authors.initials: JA
authors.lastname: Thorpe
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications* / Q000175:diagnosis; D003679:Deglutition; D015716:Electrocardiography, Ambulatory; D005260:Female; D005764:Gastroesophageal Reflux / Q000150:complications / Q000175:diagnosis; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008365:Manometry; D018670:Monitoring, Ambulatory; D013575:Syncope / Q000209:etiology*