Swallow syncope (also known as deglutition syncope) is a relatively rare type of syncope that is treatable if diagnosed correctly. We report a case of a 39-year-old man with recurrent swallow syncope. The patient did not have structural heart disease. He developed a complete atrioventricular block upon drinking a cold beverage (Chilsung cider) while undergoing a repeated head-up tilt test. The patient was advised to avoid cold beverages and has been symptom free for 5 months.
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http://dx.doi.org/10.4070/kcj.2012.42.3.212 | DOI Listing |
Europace
August 2024
IRCCS Istituto Auxologico Italiano, Faint & Fall Research Centre, Department of Cardiology, S. Luca Hospital, 20149, Milan, Italy.
Aims: The study evaluated the positivity rate, haemodynamic responses, and prognosis in terms of syncopal recurrence among patients with situational syncope (SS) stratified according to the underlying situational triggers.
Methods And Results: We retrospectively evaluated all consecutive patients with SS who underwent nitroglycerine (NTG)-potentiated head-up tilt test (HUTT) at Syncope Unit of the University of Campania 'Luigi Vanvitelli'-Monaldi Hospital from 1 March 2017 to 1 May 2023. All patients were followed for at least one year.
J Interv Card Electrophysiol
August 2024
Kansas City Heart Rhythm Institute, 5100 W 110Th Street, Suite 200, Overland Park, KS, 66211, USA.
eNeurologicalSci
June 2024
Department of Neurology, Gifu University Graduate School of Medicine, Gifu, Japan.
Pacing Clin Electrophysiol
August 2024
Department of Cardiology, Royal North Shore Hospital, St Leonards, Sydney, New South Wales, Australia.
A 41-year-old male presented with syncope whilst eating and was subsequently demonstrated to have recurrent symptomatic sinus pauses whilst swallowing. Following the exclusion of structural heart disease, he was diagnosed with swallow syncope, an uncommon variant of neurocardiogenic syncope. To avoid long-term complications of a transvenous pacemaker, the case was managed with a leadless pacemaker which resulted in complete resolution of symptoms.
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