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Deglutition syncope with coexistent carotid sinus hypersensitivity.

作者信息

Shapira Y, Strasberg B, Ben-Gal T

机构信息

Department of Internal Medicine "B", Massada Center for Heart Diseases, Beilinson Medical Center, Petah Tiqva, Israel.

出版信息

Chest. 1991 Jun;99(6):1541-3. doi: 10.1378/chest.99.6.1541.

DOI:10.1378/chest.99.6.1541
PMID:2036853
Abstract

A 63-year-old man had symptomatic deglutition-induced atrioventricular (A-V) block. There was also a coexistent mixed type carotid sinus hypersensitivity presenting as A-V block. No A-V nodal dysfunction was revealed during electrophysiologic studies. The vasodepressor response to carotid massage implies a central vagal hyperresponsiveness, which can also explain the cardioinhibitory responses to swallowing and carotid sinus massage, both possibly unmasked by posterior myocardial infarction.

摘要

相似文献

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Swallow syncope in association with Schatzki ring and hypertensive esophageal peristalsis: report of three cases and review of the literature.
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