Department of Cardiology, Royal North Shore Hospital, St Leonards, Sydney, New South Wales, Australia.
University of Sydney, Camperdown, Sydney, New South Wales, Australia.
Pacing Clin Electrophysiol. 2024 Aug;47(8):1061-1064. doi: 10.1111/pace.14923. Epub 2024 Jan 30.
A 41-year-old male presented with syncope whilst eating and was subsequently demonstrated to have recurrent symptomatic sinus pauses whilst swallowing. Following the exclusion of structural heart disease, he was diagnosed with swallow syncope, an uncommon variant of neurocardiogenic syncope. To avoid long-term complications of a transvenous pacemaker, the case was managed with a leadless pacemaker which resulted in complete resolution of symptoms.
一位 41 岁男性在进食时出现晕厥,随后在吞咽时反复出现有症状的窦性停搏。在排除结构性心脏病后,他被诊断为吞咽性晕厥,这是一种少见的神经心源性晕厥变异。为避免经静脉起搏器的长期并发症,该病例采用无导线起搏器治疗,症状完全缓解。