title: Swallow syncope, a case report and review of the literature.
abstract: Swallow syncope is a relatively rare syndrome that is treatable when diagnosed. A 66-year-old woman was referred to the department of cardiology because she had been suffering from recurrent syncopal attacks associated with swallowing. An ambulatory electrocardiogram revealed atrial and ventricular asystoles immediately after swallowing soup or tea that were reproducible (max. RR 3.5 s). An electrophysiological study did not detect sinus nodal or atrioventricular nodal dysfunction. The patient had no underlying esophageal disease or cardiac disorder. The patient's symptoms resolved after permanent pacemaker implantation. This report reviews the diagnosis, mechanism and management of swallow syncope.
authors.affiliation: Department of Cardiology and Internal Medicine, Noto General Hospital, Nanao, Japan. omiomi@medf.m.kanazawa-u.ac.jp
authors.forename: Wataru
authors.initials: W
authors.lastname: Omi
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Murata
authors.forename: Takanori
authors.initials: T
authors.lastname: Yaegashi
authors.forename: Jun-ichiro
authors.initials: J
authors.lastname: Inomata
authors.forename: Masahiko
authors.initials: M
authors.lastname: Fujioka
authors.forename: Shingo
authors.initials: S
authors.lastname: Muramoto
mesh_terms: D000368:Aged; D003679:Deglutition / Q000502:physiology*; D003680:Deglutition Disorders; D004562:Electrocardiography; D005260:Female; D006331:Heart Diseases; D006801:Humans; D013575:Syncope / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy