Swallow syncope associated with complete atrioventricular block: A case report and review of the literature

M. P. Elam, J. R. Laird, S. Johnson, J. R. Stratton

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13 Scopus citations

Abstract

Swallow or deglutition syncope is a very unusual but treatable disorder. A 44-year-old male presented with multiple, recurrent episodes of complete atrioventricular block associated with swallowing. Over a 24-hour period, 92 episodes of complete atrioventricular block occurring with meals were recorded by Holter monitoring. Evaluation did not demonstrate any underlying esophageal or cardiac disease. A trial of anticholinergic medications was unsuccessful. The patient's symptoms resolved following placement of a demand cardiac pacemaker. This is a rare but potentially lethal disorder that can be successfully treated if recognized. Physicians should be alerted to symptoms of lightheadedness or syncope during meals.

Original languageEnglish (US)
Pages (from-to)465-466
Number of pages2
JournalMilitary Medicine
Volume154
Issue number9
StatePublished - 1989
Externally publishedYes

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Elam, M. P., Laird, J. R., Johnson, S., & Stratton, J. R. (1989). Swallow syncope associated with complete atrioventricular block: A case report and review of the literature. Military Medicine, 154(9), 465-466.