Deglutition Syncope

Patel, Nachiket; Ibrahim, Saif; Shah, Jainil P.; Orellana-Barrios, Menfil; Paterick, Timothy E.; Tajik, A. Jamil

doi:10.1080/08998280.2017.11929619

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…The efferent signals are then mediated by the vagal nerves leading to temporary bradyarrhythmia by innervating the sinoatrial and atrioventricular nodes [9]. The parasympathetic response can also result in hypotension secondary to peripheral vasodilation [15]. When it comes to diagnosing DS, it is essential to rule out any esophageal disorders and cardiac diseases beforehand [9].…”

Section: Discussionmentioning

confidence: 99%

Deglutition Syncope Due to Exaggerated Vagal Reflex

Piao¹,

Chaney²,

Ying³

et al. 2021

Cureus

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Swallow or deglutition syncope is an uncommon cause of syncope associated with bradyarrhythmia and hypotension during food swallowing. Early recognition of this condition is imperative but challenging. We report a case of a 60-year-old female who presented with a complaint of intermittent lightheadedness after swallowing food. An episode of presyncope was observed and a reduced pulse rate from baseline was noted when she was instructed to eat a candy bar in the clinic. Further workup revealed normal inoffice electrocardiogram, bilateral carotid ultrasound, transthoracic echocardiogram, and videofluoroscopic swallow study. Our goal in presenting this case is to raise awareness of the condition in medical literature and provide a good understanding of its clinical manifestation to prevent life-threatening events.

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Section: Discussionmentioning

confidence: 99%

Deglutition Syncope Due to Exaggerated Vagal Reflex

Piao¹,

Chaney²,

Ying³

et al. 2021

Cureus

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“…body: In our case, the fishbone was just in the pyloric area. As is well known, the left vagus nerve runs from the lesser curvature in lesser omentum as far as the pyloric antrum, where it divides into pyloric branches; it is likely that vagal afferents were activated by this foreign body, the mechanism of which may be similar to "deglutition syncope", where the stimulation of the vagus results in sympathetic inhibition and peripheral vasodilatation, thus leading to hypotension and syncope [9].…”

Section: Discussionmentioning

confidence: 99%

Found the Needle in the Haystack! The Case of a Fishbone Causing Vasovagal Syncopes and Abdominal Pain: A Case Report

Sermoneta¹,

Favi²,

Carlo³

et al. 2018

Int J Crit Care Emerg Med

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“…The efferent signals are then mediated by right and left vagus nerves which innervate sinoatrial and atrioventricular nodes, respectively. Consequently, it leads to temporary bradyarrhythmias and sometimes a reduction in cardiac output causing hypotension via peripheral vasodilatation [ 11 , 13 ]. Arrhythmias such as sinus bradycardia and atrial or ventricular asystole have been observed as well.…”

Section: Discussionmentioning

confidence: 99%

Deglutition Syncope: Two Case Reports Attributed to Vagal Hyperactivity

Bhogal

Sethi

Taha

et al. 2017

Case Reports in Cardiology

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Deglutition syncope is a relatively rare cause of syncope that belongs to the category of neurally mediated reflex syncopal syndromes. The phenomenon is related to vagal reflex in context to deglutition causing atrioventricular block and acute reduction in cardiac output leading to dizziness or syncope. We present case series of two cases of deglutition syncope, of which first was managed medically and second with pacemaker implantation.

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Deglutition Syncope

Cited by 11 publications

References 9 publications

Deglutition Syncope Due to Exaggerated Vagal Reflex

Deglutition Syncope Due to Exaggerated Vagal Reflex

Found the Needle in the Haystack! The Case of a Fishbone Causing Vasovagal Syncopes and Abdominal Pain: A Case Report

Deglutition Syncope: Two Case Reports Attributed to Vagal Hyperactivity

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