Division of Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, Virginia.
Division of Cardiothoracic Surgery, Virginia Commonwealth University, Richmond, Virginia.
Ann Thorac Surg. 2020 Dec;110(6):e473-e475. doi: 10.1016/j.athoracsur.2020.04.058. Epub 2020 May 31.
Deglutition syncope is a rare, neurally mediated reflex syncope associated with swallowing. It is typically associated with pharyngoesophageal disorders with secondary abnormal vagal reflex causing atrioventricular cardiac block and cerebral hypoperfusion. Diagnosis can be delayed and challenging. Various treatment options have been reported, including withholding cardiac blocker agents, diet modifications, and pacemaker placement. We present a case of persistent deglutition syncope secondary to esophagogastric junction outflow obstruction that failed medical therapy and was managed successfully with peroral endoscopic myotomy with excellent long-term outcome.
吞咽性晕厥是一种罕见的、与吞咽有关的神经介导反射性晕厥。它通常与咽食管疾病有关，继发性异常迷走反射导致房室传导阻滞和脑灌注不足。诊断可能会被延误，具有挑战性。已经报道了各种治疗选择，包括停用心脏阻滞剂、饮食调整和放置起搏器。我们报告了一例继发于胃食管连接流出道梗阻的持续性吞咽性晕厥，该患者对药物治疗无效，经口内镜肌切开术治疗后效果良好，长期预后良好。
