title: Unusual presentation of a common problem.
abstract: We report on an elderly lady with a large hiatus hernia presenting with presyncope and syncope associated with large meals. Though left atrial filling and mitral inflow was unimpaired, this case is interesting since the symptoms resolved with adjustment to meal size.
authors.affiliation: Department of Cardiology, John Hunter Hospital, Newcastle, New South Wales, Australia. gunaruwan@doctors.org.uk
authors.forename: Prasad
authors.initials: P
authors.lastname: Gunaruwan
authors.forename: Kate
authors.initials: K
authors.lastname: Napthali
authors.forename: Kichu
authors.initials: K
authors.lastname: Nair
mesh_terms: D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004435:Eating; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging*; D006551:Hernia, Hiatal / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D013575:Syncope / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed