| Deglutition syncope: a manifestation of vagal hyperactivity following carotid endarterectomy. | |
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MedLine Citation:
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PMID: 20576395 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 61-year-old man with left amaurosis fugax and bilateral >80% internal carotid artery stenoses underwent a left carotid endarterectomy. On the first postoperative day, he developed hypotension, bradycardia, and chest pain with food ingestion. He was diagnosed as having deglutition syncope and was treated with oral anticholinergics. Similar symptoms occurred when he underwent a right carotid endarterectomy. Deglutition syncope is a neurally mediated situational syncope resulting from vagus nerve over-activity. This is the first report of deglutition syncope associated with carotid endarterectomy. It is important to recognize and differentiate these symptoms from other causes of postendarterectomy hemodynamic instability. |
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Authors:
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Eric D Endean; William Cavatassi; Joseph Hansler; Ehab Sorial |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-06-23 |
Journal Detail:
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Title: Journal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter Volume: 52 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-06 Completed Date: 2010-09-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 720-2 Citation Subset: IM |
Affiliation:
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Department of Surgery, Section of Vascular Surgery, University of Kentucky College of Medicine and Veterans Administration Hospital, Lexington, Ky 40536, USA. edende0@uky.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Oral Carotid Stenosis / surgery* Cholinergic Antagonists / administration & dosage Deglutition* / drug effects Endarterectomy, Carotid / adverse effects* Humans Male Middle Aged Syncope / drug therapy, etiology*, physiopathology Treatment Outcome Vagus Nerve / drug effects, physiopathology* |
| Chemical | |
Reg. No./Substance:
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0/Cholinergic Antagonists |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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