Document Detail

When water hurts.
MedLine Citation:
PMID:  19712069     Owner:  NLM     Status:  MEDLINE    
Deglutition syncope refers to an uncommon cause of neurally mediated syncope induced by swallowing. We briefly review a case of a 66-year-old man who experienced recurrent syncope episodes during ingestion of beverages, mainly water. Our investigations documented several short asymptomatic episodes of asystole and one prolonged complete atrioventricular block of around 15 seconds associated with the syncopal events, during swallowing. Barium x-ray and manometry evaluations revealed only a nonspecific esophageal dysmotility. An underlying sick-sinus syndrome was found on electrophysiologic study. A DDD pacemaker implantation was performed leading to total disappearance of patient's symptoms.
Francesco Casella; Alessandro Diana; Mara Bulgheroni; Monica Solbiati; Elisa Ceriani; Francesco Pentimalli; Antonio Sagone; Nicola Montano
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-27
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  32     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-28     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e25-7     Citation Subset:  IM    
Department of Clinical Sciences, Internal Medicine II, L. Sacco Hospital, University of Milan, Milan, Italy.
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MeSH Terms
Atrioventricular Block / diagnosis,  etiology*,  prevention & control*
Pacemaker, Artificial*
Syncope / complications*,  diagnosis*
Ventricular Dysfunction, Left / etiology*,  prevention & control*

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