Deglutition Syncope

Cherukuri, Sreekant; Gardner, Glendon M.

doi:10.1016/s0194-5998(03)01597-3

Cited by 12 publications

(11 citation statements)

References 3 publications

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“…Reflex-mediated vasomotor inhibitory syndrome is one of the etiological categories of syncope, and swallow syncope, included in this category, is a relatively rare syndrome[1]. To our knowledge, since Spens [2 ]described a possible case of swallow syncope in 1793, about 60 cases have been reported in the English literature (table 1) [2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57]. Most patients were adults, of varying ages, but some cases of young children have also been reported [16, 29, 31, 33], and the possibility of hereditary factors has been suggested [29].…”

Section: Discussionmentioning

confidence: 99%

Swallow Syncope, a Case Report and Review of the Literature

et al. 2006

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Swallow syncope is a relatively rare syndrome that is treatable when diagnosed. A 66-year-old woman was referred to the department of cardiology because she had been suffering from recurrent syncopal attacks associated with swallowing. An ambulatory electrocardiogram revealed atrial and ventricular asystoles immediately after swallowing soup or tea that were reproducible (max. RR 3.5 s). An electrophysiological study did not detect sinus nodal or atrioventricular nodal dysfunction. The patient had no underlying esophageal disease or cardiac disorder. The patient’s symptoms resolved after permanent pacemaker implantation. This report reviews the diagnosis, mechanism and management of swallow syncope.

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Section: Discussionmentioning

confidence: 99%

Swallow Syncope, a Case Report and Review of the Literature

et al. 2006

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“…16 Although the precise neural pathway mediating these responses is unclear, a vasovagal reflex involving visceral afferent activation of cardioinhibitory centres in the brainstem has been proposed. 15 By analogy, it is conceivable that stimulation of afferent vagal fibres during the esophageal passage of the nasogastric tube triggered the cardiac arrest in our patient.…”

Section: Discussionmentioning

confidence: 86%

“…However cardiac arrest during deglutition, and both bradycardia and termination of paroxysmal tachycardia associated with placement of a nasogastric tube have been reported. [13][14][15] Bradycardia may also be associated with upper gastrointestinal endoscopy. 16 Although the precise neural pathway mediating these responses is unclear, a vasovagal reflex involving visceral afferent activation of cardioinhibitory centres in the brainstem has been proposed.…”

Section: Discussionmentioning

confidence: 99%

Nail-Patella syndrome: A case report and anesthetic implications

Hennessey

Backman

Meterissian

et al. 2007

Can J Anesth/J Can Anesth

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“…Der entscheidende Faktor scheint ein abnormaler ösophagokardialer Reflex mit Anstieg des Vagotonus und kardialer Inhibition beim Schlucken und bei ösophagealer Dehnung zu sein [4]. Der Pathomechanismus des in diesem speziellen Fall vorliegenden diffusen Ösophagusspasmus ist ebenfalls nicht geklärt.…”

Section: Diskussionunclassified

“…In der Manometrie findet sich dabei eine unzureichende schluckreflektorische Erschlaffung des unteren Ösophagussphinkters mit Erhö-hung des Ruhedrucks [4].…”

Section: Diskussionunclassified