Swallow syncope is usually caused by organic or functional disorders of the esophagus due to abnormal vasovagal reflex. In elderly patients this situation could be confused with postpran-dial hypotension. We present a case of an elderly patient who presented with swallow syncope that was caused by a waist in the midportion of esophagus induced by an ascending aorta aneurysm.
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References
1.
Johnson RH: Syncope without heart disease. In: Neurocardiology, ed. by Johnson RH, Lambie D, Spalding JM.Philadelphia: WB Saunders, 1984, pp 159-184.
2.
Jansen RW, Connelly CM, Kelley-Gagnon MM, et al: Postprandial hypotension in elderly patients with unexplained syncope. Arch Inter Med155: 945-952, 1995.
3.
Drake C, Rollings H, Ham O, et al: Visually provoked complete atrioventricular block: An unusual form of deglutition syncope. Am J Cardiol53: 1408-1409, 1984.
4.
Nakagawa S, Hisanaga S, Kondoh H, et al: A case of swallow syncope induced by vagotonic visceral reflex resulting in atrioventricular node suppression. J Electrocardiol20: 65-69, 1987.
5.
Guberman A, Catching J: Swallow syncope. Can J Neurol Sci13: 267-269, 1986.
6.
Bortolotti M, Sarti P, Brunelli F, et al: Abnormal esophagocardiac inhibitory reflex in patients with diffuse esophageal spasm. Digestion56: 488-492, 1995.
7.
Grubb BP, Kosinski D: Current trends in the etiology, diagnosis and management of neurocardiogenic syncope. Curr Opin Cardiol11: 32-41, 1996.
8.
Abboud FM: Neurocardiogenic syncope. N Engl J Med15: 1117-1117, 1993.
9.
Kapoor WN: Syncope in the older person. J Am Geriatr Soc42: 426-426, 1994.
10.
Thoren P: Role of cardiac vagal C-fibers in cardiovascular control. Rev Physiol Biochem Pharmacol86: 1-1, 1989.
11.
Mark AL: The Bezold-Jarisch reflex revisited: Clinical implications of inhibitory reflexes originating in the heart. J Am Coll Cardiol1: 90-90, 1983.
12.
Brignole M, Menozzi C, Gianfranchi L, et al: A controlled trial of acute and long-term medical therapy in tilt-induced neurally mediated syncope. J Am Coll Cardiol. 70: 339-339, 1992.
13.
Sra JS, Jazayeri MR, Avitall B, et al: Comparison of cardiac pacing with drug therapy in the treatment of neurocardiogenic (vasovagal) syncope with brady-cardia or asystole. N Engl J Med328: 1085-1085, 1993.
14.
Basker MR, Cooper DK: Oesophageal syncope. Ann R Coll Surg Engl82: 249-253, 2000.
15.
Farb A, Valenti SA: Swallow syncope. Md Med J48: 151-154, 1999.
