A case of swallow syncope with sinus pause and vasovagal syncope.
- Author:
Hye Jin KIM
1
;
Eun Hee CHO
;
Keun Hyuk CHO
;
Young Bong SONG
;
Ik Sung CHOI
;
Jae Won CHOI
;
Hoon Ki PARK
Author Information
1. Department of Internal Medicine, Seoul Veterans Hospital, Seoul, Korea. phoongi@hanafos.com
- Publication Type:Case Report
- Keywords:
Swallow syncope;
Vasovagal syncope;
Sinus pause
- MeSH:
Aged;
Carbonated Beverages;
Deglutition;
Electrocardiography;
Head;
Heart Diseases;
Humans;
Korea;
Male;
Reflex;
Syncope*;
Syncope, Vasovagal*
- From:Korean Journal of Medicine
2005;68(6):688-691
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 73 year-old male presented with recurrent episodes of syncope associated with swallowing. Head up tilt test revealed positive response and electrocardiogram revealed a sinus pause with swallowing of carbonated beverages. Underlying esophageal or cardiac disease was not found after evaluation. These findings suggest that a disturbance in the autonomic feedback loop of cardiovascular reflex led to the vasovagal syncope and swallow syncope in this patient. We experienced a case of swallow syncope with sinus pause and vasovagal syncope diagnosed by head up tilt test. This is the first case in Korea that presented with both swallow syncope and vasovagal syncope.
