Trinco P, Falque B, Stilman A-C, Windhausen K
Service des Urgences, CHR Huy, Belgique.
Service de Cardiologie, CHU Liège.
Rev Med Liege. 2016 Jul;71(7-8):360-363.
Syncope accounts for nearly 5 % of the emergency intake causes. Swallow syncope is a rare form of cardio-neurogenic syncope. Less than a hundred cases were reported since its first description in the mid-18th century. We present the case of an 83-year-old patient with recurrent syncope occurring during meals. Telemetry monitoring revealed a severe bradycardia with complete AV block and a pause of 8 seconds. A dual chamber pacemaker was implanted and the syncopal episodes were abolished. We shall briefly review the diagnostic methods, mechanisms, and therapy of swallow syncope.
晕厥占急诊入院病因的近5%。吞咽性晕厥是一种罕见的心源性晕厥形式。自18世纪中叶首次描述以来,报告的病例不到100例。我们报告一例83岁患者,在进餐时反复发生晕厥。遥测监测显示严重心动过缓伴完全性房室传导阻滞及8秒的停搏。植入了双腔起搏器后,晕厥发作消失。我们将简要回顾吞咽性晕厥的诊断方法、机制和治疗。