A 37-year-old man with recurrent fainting: a short communication

Leitman, Marina; Zyssman, Itzhak; Abuhatzera, Shalom; Vasserman, Margarita; Baruh, Christina Ben; Vered, Zvi

doi:10.1093/ejechocard/jeq038

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…2012/ [30]39/MSyncope, Chest tightnessNoLiquid (Cold)3rd degree AV blockAvoidance of triggerYesKnopke et al 2012/ [31]49/FSyncope, Dysphagia, RegurgitationHiatus hernia, Diffuse oesophageal spasmSolid food3rd degree AV blockPPMYesForeman et al 2011/ [32]52/FPresyncope, Chest painNoSolid food2nd degree AV blockPPMYesVanerio et at. 2011/ [33]84/FSyncopeHiatus HerniaSolid and Liquid (Carbonated)–Nissen’s FundoplicationYesMitra et al 2011/ [34]60/FPresyncope, SyncopeMetabolic DiseasesSolid foodSinus Bradycardia, 3rd degree AV blockPPMYesMarina et al 2010/ [35]37/MSyncopeMegaoesophagus, Extra Cardiac mass compressing left atriumSolid and Liquid–Deflation of gastric band–GY Lee et al 2010/ [36]62/MSyncope, DysphagiaAtrial Fibrillation, Metabolic diseasesLiquidAsystolePPMYesEndean et al 2010/ [37]61/ MSyncope, Chest pain, Vision lostPost Carotid entaterectomySolid food–GlycopyrrolateYesCasella et al 2009/ [38]66/ MSyncopeOesophageal dysmotility, Sick sinus syndromeLiquid onlyAV blockPPMYesKaramitsos et al 2009/ [39]82/FSyncopeHiatus herniaLarge mealNM––Favaretto et al 2008/ [40]63/MSyncope, OdynophagiaHiatus herniaSolid and LiquidAsystolePPMYesBajwa et al 2008/ [41]51/MPresyncope, SyncopeMetabolic diseases, Inflammatory bowel diseasesSolid foodAtrial & Ventricular atopic beatPPMYes…”

Section: Discussionmentioning

confidence: 99%

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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Section: Discussionmentioning

confidence: 99%

Swallow syncope: a case report and review of literature

Siew

Tan

Hilmi

et al. 2019

BMC Cardiovasc Disord

View full text Add to dashboard Cite

show abstract

“…Therefore, placement of a pacemaker represents a reasonable treatment option that allows for over-riding of the bradycardia, although it does not treat the cause of the problem. The 11 cases listed in table 1 who had pacemaker implantation, all had resolution of symptoms over a follow-up period of 2 to 26 months, [9][10][11][12][13][14][15][16][17][18][19][20] indicating that pacemakers are an effective treatment. However, pacemaker implantation is not without risks that need to be balanced with the potential benefits.…”

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confidence: 99%