Document Detail

Swallow syncope.
MedLine Citation:
PMID:  10461434     Owner:  NLM     Status:  MEDLINE    
Swallowing (or deglutition) syncope is an uncommon, vagally-mediated etiology for syncope that may be seen in children and adults. The mechanism of syncope involves afferent impulses from the upper gastrointestinal tract and efferent impulses to the heart that can produce a variety of bradyarrhythmias with atrioventricular block. Two cases of swallow syncope are reported, one associated with drinking a cold carbonated beverage, and the other precipitated by eating a large bolus of food (which we have termed "Vaso-Bagel" syncope). In evaluating patients with syncope, a history of a temporal relationship to eating or drinking should be sought. While changes in eating habits may be effective in some cases, permanent pacemaker placement is often indicated and is curative.
A Farb; S A Valenti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Maryland medical journal (Baltimore, Md. : 1985)     Volume:  48     ISSN:  0886-0572     ISO Abbreviation:  Md Med J     Publication Date:    1999 Jul-Aug
Date Detail:
Created Date:  1999-09-14     Completed Date:  1999-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8506985     Medline TA:  Md Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  151-4     Citation Subset:  IM    
Department of Internal Medicine, Howard County General Hospital, Columbia, Maryland, USA.
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MeSH Terms
Bradycardia / complications,  diagnosis,  physiopathology
Drinking / physiology
Eating / physiology
Heart Block / complications,  diagnosis,  physiopathology
Middle Aged
Syncope, Vasovagal / diagnosis,  etiology*,  physiopathology

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