Open AccessDangerous noodle: A case of swallowing syncope and a review of 122 cases from the literature
Author(s) -
Uraguchi Kensuke,
Kariya Shin,
Makihara Seiichiro,
Oka Aiko,
Ueeda Hiroo,
Noda Yohei,
Nishizaki Kazunori
Publication year - 2019
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1002/joa3.12130
Subject(s) - syncope (phonology) , medicine , swallowing , anesthesia , cardiology , surgery
Swallowing syncope is a rare medical condition. Even though it has been known as a neurally mediated syncope, the definitive mechanism of this condition remains unclear. We show in this study an additional case of swallowing syncope and review the 122 reported cases from the literature. A 47‐year‐old Japanese man had been suffering from recurrent syncopal attacks, when he fainted immediately after swallowing. Holter electrocardiogram monitoring demonstrated a sinus pause (maximum R‐R interval of 3.8 seconds) after he swallowed a noodle quickly. A permanent pacemaker was implanted because the frequency of syncope increased.