Thomé F, al-Amine A, Perrenoud J J
Policlinique de médecine, Hôpital cantonal universitaire de Genève.
Schweiz Med Wochenschr. 1992 Jan 18;122(3):73-6.
In cases with a history of swallow syncope, an ECG should immediately be taken during ingestion of solid or liquid food in order to determine the rhythm disturbances responsible for the syncopes. Both esophageal passage and cardiac diagnosis are indicated, since, as shown in the literature, pathologic findings are not uncommon. The triad syncope, bradyarrhythmia while swallowing is considered to be an indication for definitive electrostimulation (pacemaker implantation) unless, exceptionally, halting digitalis medication puts an end to the syncopes.
对于有吞咽性晕厥病史的患者，在摄入固体或液体食物期间应立即进行心电图检查，以确定导致晕厥的心律失常。食管检查和心脏诊断均有必要，因为如文献所示，病理结果并不罕见。晕厥、吞咽时出现缓慢性心律失常这一三联征被认为是确定性电刺激（起搏器植入）的指征，除非极个别情况下停用洋地黄药物能终止晕厥发作。
