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) |
|---|---|
| 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
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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.