When Water Hurts

被引：3

作者：

Casella, Francesco ^{[1
,2
]}

Diana, Alessandro ^{[1
]}

Bulgheroni, Mara ^{[1
]}

Solbiati, Monica ^{[1
]}

Ceriani, Elisa ^{[1
]}

Pentimalli, Francesco ^{[3
]}

Sagone, Antonio ^{[3
]}

Montano, Nicola ^{[1
]}

机构：

[1] Univ Milan, Dept Clin Sci, Luigi Sacco Hosp, I-20157 Milan, Italy

[2] Bolognini Hosp, Bergamo, Italy

[3] L Sacco Hosp Vialba, Div Cardiol, Milan, Italy

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2009年 / 32卷 / 11期

关键词：

syncope; asystole; vaso vagal reflex; esophageal dysmotility; SWALLOW-SYNCOPE; DEGLUTITION SYNCOPE; ATRIOVENTRICULAR-BLOCK;

D O I：

10.1111/j.1540-8159.2009.02521.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (PACE 2009; 32: e25-e27)

引用

页码：E25 / E27

页数：3

共 13 条

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