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Swallow Syncope
Author(s) -
SRIVATHSAN KOMANDOOR,
LEE RICHARD W.
Publication year - 2003
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1046/j.1460-9592.2003.00135_26_3.x
Subject(s) - medicine , syncope (phonology) , swallowing , asymptomatic , anesthesia , pharyngeal reflex , atrioventricular block , ingestion , dysphagia , cardiology , surgery
SRIVATHSAN, K., et al .: Swallow Syncope.Swallow syncope is a rare disorder caused by hypersensitive vagotonic reflex in response to deglutition. A 26‐year‐old man complained of recurrent light‐headedness and near syncope on swallowing was hospitalized for monitoring and evaluation. Continuous electrocardiographic and invasive arterial pressure monitoring showed ingestion of a solid meal evoked light‐headedness and complete AV block without an escape rhythm that lasted for 5.6 seconds. This patient received a Medtronic Kappa (401B) DDDR pacemaker with the rate drop feature. The patient has remained asymptomatic on follow‐up for the past 2 years. (PACE 2003; 26:781–782)