2002
DOI: 10.2169/internalmedicine.41.199
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Unusual Swallow Syncope Caused by Huge Hiatal Hernia.

Abstract: Swallowing is a rare cause of syncope. A 76-year-old womanwas admitted to a hospital due to postprandial loss of consciousness. Although no remarkable cardiogenic problem was proven, upper gastrointestinal barium examination revealed a huge hiatal hernia. Both echocardiography and MRI presented the collapsed left atrium due to the herniated stomach. Water pouring examination successfully represented lightheadedness, and Nissen 's fundoplication was carried out. After this procedure, she never suffered from syn… Show more

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Cited by 39 publications
(34 citation statements)
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“…These patients can get relief of their symptoms by surgical repair of the hernia. 23,24 A pacemaker would not provide any benefit because bradycardia is not involved.…”
mentioning
confidence: 99%
“…These patients can get relief of their symptoms by surgical repair of the hernia. 23,24 A pacemaker would not provide any benefit because bradycardia is not involved.…”
mentioning
confidence: 99%
“…Maekawa et al described a similar case in 2002. In this report, however, the authors confi rmed the tamponade eff ect of the thoracic stomach by a provocation test (11).…”
Section: Deglutition Syncopementioning
confidence: 73%
“…Giant esophageal hiatus hernia can cause congestive heart failure (CHF) and syncope [1,2,3,4]. The mechanism for CHF includes external compression of the left atrium, resulting in increased left atrial pressure and subsequent pulmonary venous congestion [1,2,3].…”
Section: Discussionmentioning
confidence: 99%
“…The mechanism for CHF includes external compression of the left atrium, resulting in increased left atrial pressure and subsequent pulmonary venous congestion [1,2,3]. The presence of syncope can be explained by impaired filling of LA (and subsequent impaired LV filling), resulting in decreased cardiac output.…”
Section: Discussionmentioning
confidence: 99%