Swallow Syncope Associated With Intermittent Sinus Pause and High-Degree Atrioventricular Block: A Case Report.
atrioventricular
block
bradycardia
swallow
syncope
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
accepted:
06
03
2022
entrez:
11
4
2022
pubmed:
12
4
2022
medline:
12
4
2022
Statut:
epublish
Résumé
Swallow syncope, also known as deglutition syncope, is a relatively rare neurogenic disorder that is triggered by oral intake. When diagnosed, swallow syncope is treatable, but it is challenging to identify without proper history and prior knowledge of this disorder. Here, we describe the case of a 68-year-old female with a complex history who presented to the emergency room with complaints of worsening long-term intermittent lightheadedness and dizziness associated with swallowing. During her hospital stay, the patient was noted to have a high-degree atrioventricular block on telemetry during dinner time. A repeat electrocardiogram (ECG) demonstrated a prolonged P-R interval, and a temporal relationship between swallowing cold water and electrocardiogram (ECG) changes was demonstrated. A diagnosis of swallow syncope was confirmed. Electrophysiology was consulted and a pacemaker was placed. Symptoms of swallow-associated arrhythmias completely resolved after pacemaker implantation. This case illustrates the challenging problem of swallow syncope. While swallow syncope is highly treatable once identified, the challenge lies in identifying the disorder.
Identifiants
pubmed: 35399438
doi: 10.7759/cureus.22915
pmc: PMC8985555
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e22915Informations de copyright
Copyright © 2022, Malone et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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