Department of Cardiology, Tsukazaki Hospital, 68-1 Waku Aboshi-ku, Himeji, Hyogo 671-1227, Japan.
J Cardiol. 2009 Oct;54(2):300-3. doi: 10.1016/j.jjcc.2008.11.007. Epub 2009 Jan 14.
A 52-year-old Japanese man was admitted to our hospital for evaluation of syncope and convulsions. An electrocardiogram on admission revealed normal sinus rhythm. However, after repeated bouts of coughing, the heart rate showed bradycardia associated with convulsion. He was diagnosed with cough syncope secondary to laryngopharyngitis, which was caused by gastroesophageal reflux disease (GERD). Once the patient was administrated lansoprazole (Takeda Pharmaceutical Co., Osaka, Japan) for GERD, the syncope disappeared. The causes of syncope are diverse and may manifest in disorders of different organ systems in the body. Therefore, clinicians should perform a careful whole body examination to obtain the correct diagnosis.
一位 52 岁的日本男性因晕厥和抽搐被收入我院。入院时心电图显示为窦性心律正常。然而，在反复咳嗽后，心率出现与抽搐相关的心动过缓。他被诊断为因胃食管反流病（GERD）引起的咽峡炎导致的咳嗽性晕厥。一旦患者接受了兰索拉唑（武田药品工业株式会社，大阪，日本）治疗 GERD，晕厥便消失了。晕厥的原因多种多样，可能表现为体内不同器官系统的紊乱。因此，临床医生应进行仔细的全身检查以做出正确的诊断。
