危险面条：一例吞咽性晕厥及文献中122例病例回顾

Dangerous noodle: A case of swallowing syncope and a review of 122 cases from the literature.

作者信息

Uraguchi Kensuke, Kariya Shin, Makihara Seiichiro, Oka Aiko, Ueeda Hiroo, Noda Yohei, Nishizaki Kazunori

机构信息

Department of Otolaryngology Kochi Health Sciences Center Kochi Japan.

Department of Otolaryngology-Head and Neck Surgery Kagawa Rosai Hospital Kagawa Japan.

出版信息

J Arrhythm. 2018 Nov 1;35(1):145-148. doi: 10.1002/joa3.12130. eCollection 2019 Feb.

DOI:10.1002/joa3.12130

PMID:30805058

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6373638/

Abstract

Swallowing syncope is a rare medical condition. Even though it has been known as a neurally mediated syncope, the definitive mechanism of this condition remains unclear. We show in this study an additional case of swallowing syncope and review the 122 reported cases from the literature. A 47-year-old Japanese man had been suffering from recurrent syncopal attacks, when he fainted immediately after swallowing. Holter electrocardiogram monitoring demonstrated a sinus pause (maximum R-R interval of 3.8 seconds) after he swallowed a noodle quickly. A permanent pacemaker was implanted because the frequency of syncope increased.

摘要

吞咽性晕厥是一种罕见的医学病症。尽管它被认为是一种神经介导性晕厥，但其确切机制仍不清楚。我们在本研究中展示了另一例吞咽性晕厥病例，并回顾了文献中报道的122例病例。一名47岁的日本男性患有反复发作的晕厥发作，他在吞咽后立即昏厥。动态心电图监测显示，他快速吞咽一根面条后出现窦性停搏（最大R-R间期为3.8秒）。由于晕厥频率增加，植入了永久性起搏器。