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 language | English (US) |
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Pages (from-to) | 465-466 |
Number of pages | 2 |
Journal | Military Medicine |
Volume | 154 |
Issue number | 9 |
State | Published - 1989 |
Externally published | Yes |
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health