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

Research output: Contribution to journalArticle

13 Citations (Scopus)

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

Fingerprint

Atrioventricular Block
Syncope
Deglutition
Meals
Esophageal Diseases
Ambulatory Electrocardiography
Cholinergic Antagonists
Dizziness
Heart Diseases
Physicians

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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.

Swallow syncope associated with complete atrioventricular block : A case report and review of the literature. / Elam, M. P.; Laird, J. R.; Johnson, S.; Stratton, J. R.

In: Military Medicine, Vol. 154, No. 9, 1989, p. 465-466.

Research output: Contribution to journalArticle

Elam, MP, Laird, JR, Johnson, S & Stratton, JR 1989, 'Swallow syncope associated with complete atrioventricular block: A case report and review of the literature', Military Medicine, vol. 154, no. 9, pp. 465-466.
Elam, M. P. ; Laird, J. R. ; Johnson, S. ; Stratton, J. R. / Swallow syncope associated with complete atrioventricular block : A case report and review of the literature. In: Military Medicine. 1989 ; Vol. 154, No. 9. pp. 465-466.
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