| Syncope upon swallowing caused by an esophageal hiatal hernia compressing the left atrium: a case report. | |
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MedLine Citation:
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PMID: 14717723 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a patient with syncope associated with swallowing. This syncope was caused by transient compression of the left atrium (LA) by an esophageal hiatal hernia. Two-dimensional echocardiography demonstrated a hyperechoic mass compressing the LA from the posterior. With air insufflation of the esophagus, compression of the LA by this hernia sac was seen to increase. Pulsed and color Doppler echocardiography revealed greatly decreased velocity of blood flowing into the LA and left ventricle (LV). Thus, marked compression of the LA by an esophageal hiatal hernia can cause syncope by impeding blood flow from the LA to the LV. Echocardiography proved highly useful in diagnosis. |
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Authors:
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Yoshifumi Oishi; Takeo Ishimoto; Norio Nagase; Kenichi Mori; Sayuri Fujimoto; Shigehito Hayashi; Yoshie Ochi; Kazuo Kobayashi; Tomotsugu Tabata; Takashi Oki |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Echocardiography (Mount Kisco, N.Y.) Volume: 21 ISSN: 0742-2822 ISO Abbreviation: Echocardiography Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-13 Completed Date: 2004-07-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8511187 Medline TA: Echocardiography Country: United States |
Other Details:
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Languages: eng Pagination: 61-4 Citation Subset: IM |
Affiliation:
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Cardiovascular Section, National Higashi Tokushima Hospital, 1-1 Ohmukai-kita, Ohtera, Itano, Tokushima 779-0193, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Deglutition* Echocardiography, Doppler, Color Female Heart Atria / ultrasonography* Hernia, Hiatal / complications*, radiography, ultrasonography Humans Syncope / etiology*, ultrasonography Tomography, X-Ray Computed |
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