Browse > Article
http://dx.doi.org/10.4070/kcj.2012.42.3.212

A Case of Swallow Syncope Associated With Cold Beverage Ingestion  

Kim, Chung-Hun (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Ko, Sung-Min (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Nam-Jun (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Park, Sun-Mi (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Lee, Ga-Yeon (Division of Cardiology, Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Cho, Jin-Hyun (Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, June-Soo (Division of Cardiology, Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Korean Circulation Journal / v.42, no.3, 2012 , pp. 212-215 More about this Journal
Abstract
Swallow syncope (also known as deglutition syncope) is a relatively rare type of syncope that is treatable if diagnosed correctly. We report a case of a 39-year-old man with recurrent swallow syncope. The patient did not have structural heart disease. He developed a complete atrioventricular block upon drinking a cold beverage (Chilsung cider) while undergoing a repeated head-up tilt test. The patient was advised to avoid cold beverages and has been symptom free for 5 months.
Keywords
Syncope; Deglutition; Atrioventricular block;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Grubb BP. Clinical practice. Neurocardiogenic syncope. N Engl J Med 2005;352:1004-10.   DOI   ScienceOn
2 Omi W, Murata Y, Yaegashi T, Inomata J, Fujioka M, Muramoto S. Swallow syncope, a case report and review of the literature. Cardiology 2006; 105:75-9.   DOI   ScienceOn
3 Moya A, Sutton R, Ammirati F, et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J 2009;30:2631-71.   DOI   ScienceOn
4 Spens T. Medical commentary. In: Major RH, editor. Classic Descriptions of Disease. 3rd ed. Springfiled Illinois: CC Thomas; 1978. p.358.
5 Bortolotti M, Cirignotta F, Labò G. Atrioventricular block induced by swallowing in a patient with diffuse esophageal spasm. JAMA 1982; 248:2297-9.   DOI   ScienceOn
6 Tomlinson IW, Fox KM. Carcinoma of the oesophagus with "swallow syncope". Br Med J 1975;2:315-6.   DOI
7 Trujillo NP, Spero C. Syncope associated with esophageal stricture. Med Ann Dist Columbia 1974;43:553-6.
8 Drake CE, Rollings HE, Ham OE Jr, Heidary DH, Yeh TJ. Visually provoked complete atrioventricular block: an unusual form of deglutition syncope. Am J Cardiol 1984;53:1408-9.   DOI   ScienceOn
9 Lee GY, Chang BS, Song JU, et al. Deglutition syncope associated with ventricular asystole in a patient with permanent atrial fibrillation. Korean Circ J 2010;40:99-101.   DOI   ScienceOn
10 Palmer ED. The abnormal upper gastrointestinal vagovagal reflexes that affect the heart. Am J Gastroenterol 1976;66:513-22.
11 Kakuchi H, Sato N, Kawamura Y. Swallow syncope associated with complete atrioventricular block and vasovagal syncope. Heart 2000; 83:702-4.   DOI
12 Kang KH, Cho WH, Kim MC, Chang HJ, Chung JI, Won DJ. Cases of swallow syncope induced by the activation of mechanorecepters in the lower esophagus. Korean J Intern Med 2005;20:68-71.   DOI   ScienceOn
13 Ammirati F, Colivicchi F, Santini M; Syncope Diaquosis and Treatment Study Investigators. Permanent cardiac pacing versus medical treatment for the prevention of recurrent vasovagal syncope: a multicenter, randomized, controlled trial. Circulation 2001;104:52-7.   DOI   ScienceOn