Deglutition Syncope: A Case Report and Review of the Literature
| Autor: | Allon Kahn, Laura Koepke, Sarah B. Umar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Dual Chamber Pacemaker
030213 general clinical medicine Pediatrics medicine.medical_specialty Mastoiditis medicine.diagnostic_test business.industry Chronic sinusitis Case Report General Medicine 030204 cardiovascular system & hematology medicine.disease Dysphagia Endoscopy 03 medical and health sciences 0302 clinical medicine Esophagus Swallowing Reflex otorhinolaryngologic diseases Medicine medicine.symptom business Atrioventricular block |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| Popis: | Deglutition syncope (DS) is a rare, neurally-mediated syncopal syndrome arising from an aberrant vagotonic reflex during swallow-associated esophageal dilation. Its association with gastroesophageal disorders often prompts gastroenterology consultation. An 89-year-old man with recent dysphagia and otalgia was admitted after a syncopal episode occurred while eating. Esophageal imaging and endoscopy demonstrated no causative abnormalities. Maxillofacial imaging revealed chronic sinusitis and mastoiditis. Telemetry monitoring demonstrated high-grade atrioventricular block and pause associated with swallowing. His symptoms and swallow-associated arrhythmia resolved after dual chamber pacemaker implantation. DS is highly treatable once identified and multidisciplinary coordination is helpful in optimizing outcomes and avoiding superfluous testing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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