Swallowing-Induced atrioventricular block and syncope in a patient with achalasia

Erdoğan, Halil İbrahim; Gök, Hasan; Karanfil, Mustafa

doi:10.5152/tjg.2015.5312

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…Th e neural mechanism occurs as a vagal refl ex during deglutition that causes inhibition of the normal cardiac conduction system (1). Th e pathophysiologic mechanism is the aff erent path of the refl ex thought to stimulate the vagus or glossopharyngeal nerve.…”

Section: Discussionmentioning

confidence: 99%

Deglutition Syncope

Patel¹,

Ibrahim²,

Shah³

et al. 2017

Baylor University Medical Center Proceedings

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Section: Discussionmentioning

confidence: 99%

Deglutition Syncope

Patel¹,

Ibrahim²,

Shah³

et al. 2017

Baylor University Medical Center Proceedings

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“…In patients in whom the disorder is thought to originate from the esophagus, dilation, botulinum toxin injection, and laparoscopic Heller myotomy with partial fundoplication have been attempted with inconsistent results. 6 Esophagogastric junction outflow obstruction (EJGOO) is a recently described esophageal motility disorder characterized by the lack of relaxation of the esophagogastric junction (integrated relaxation pressure >15 mm Hg) on manometry with preserved esophageal body peristalsis. 7 Its pathogenesis is poorly understood, with multiple possible etiologies including esophagogastric junction neuromuscular dysfunction, e474 CASE REPORT mechanical obstruction, and infiltrative processes.…”

Section: Commentmentioning

confidence: 99%

Deglutition Syncope Treated With Peroral Endoscopic Myotomy

Klein

Alwatari

Koneru

et al. 2020

The Annals of Thoracic Surgery

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Swallow syncope: a case report and review of literature

Siew

Tan

Hilmi

et al. 2019

BMC Cardiovasc Disord

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Background Swallow or deglutition syncope is an unusual type of neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose with commonly delayed diagnosis and management. There is lack of review articles that elucidate the basic demographics, clinical characteristics and management of this rare condition. This publication systematically reviews the 101 case reports published since 1793 on swallow syncope. Case presentation A 59-year-old man presented with the complaint of recurrent dizziness associated with meals. A 24-h ambulatory ECG recording confirmed an episode of p-wave asystole at the time of food intake. Oesophagogastroduodenoscopy with balloon inflation in the mid to lower oesophagus resulted in a 5.6 s sinus pause. The patient’s symptoms resolved completely following insertion of a permanent dual chamber pacemaker. Conclusions Swallow syncope is extremely rare, but still needs to be considered during diagnostic workup. It is commonly associated with gastro-intestinal disease. Permanent pacemaker implantation is the first line treatment.

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Swallowing-Induced atrioventricular block and syncope in a patient with achalasia

Cited by 3 publications

References 5 publications

Deglutition Syncope

Deglutition Syncope

Deglutition Syncope Treated With Peroral Endoscopic Myotomy

Swallow syncope: a case report and review of literature

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