Swallow (deglutition) syncope

Islam, Zafir; Warricker, Frazer; Shah, Benoy N.

doi:10.1136/postgradmedj-2016-133998

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Swallowing Syncope

Dai,

Shan

2023

Experts' Perspectives on Medical Advances

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Swallowing Syncope

Dai,

Shan

2023

Experts' Perspectives on Medical Advances

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Swallow syncope: a case report and review of literature

Siew

Tan

Hilmi

et al. 2019

BMC Cardiovasc Disord

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Background Swallow or deglutition syncope is an unusual type of neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose with commonly delayed diagnosis and management. There is lack of review articles that elucidate the basic demographics, clinical characteristics and management of this rare condition. This publication systematically reviews the 101 case reports published since 1793 on swallow syncope. Case presentation A 59-year-old man presented with the complaint of recurrent dizziness associated with meals. A 24-h ambulatory ECG recording confirmed an episode of p-wave asystole at the time of food intake. Oesophagogastroduodenoscopy with balloon inflation in the mid to lower oesophagus resulted in a 5.6 s sinus pause. The patient’s symptoms resolved completely following insertion of a permanent dual chamber pacemaker. Conclusions Swallow syncope is extremely rare, but still needs to be considered during diagnostic workup. It is commonly associated with gastro-intestinal disease. Permanent pacemaker implantation is the first line treatment.

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Swallow (deglutition) syncope

Cited by 2 publications

References 3 publications

Swallowing Syncope

Swallowing Syncope

Swallow syncope: a case report and review of literature

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