Ellington Abigail Layton, Tarry Samuel Thierjung, Ellis Matthew Nigel Hugh, Clayton Steven B
Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
Wake Forest School of Medicine, Winston-Salem, NC.
ACG Case Rep J. 2025 Jan 10;12(1):e01588. doi: 10.14309/crj.0000000000001588. eCollection 2025 Jan.
Syncope is characterized by a transient loss of consciousness. Swallow syncope, a rare cause of syncope, is caused by vagus nerve activation resulting in vasodilation and bradycardia, thus causing transient hypotension and cerebral hypoperfusion. It is diagnosed through clinical history, cardiac, and esophageal evaluation. We present a case of swallow syncope in a patient with significant cardiac history. Initial cardiac and esophageal testing was normal. Long-term telemetry revealed bradycardia with swallowing, and the patient underwent pacemaker placement. Swallow syncope is associated with a variety of esophageal and cardiac conditions. Management involves addressing the underlying cause; pacemaker placement is sometimes necessary. KEYWORDS: syncope; swallow syncope; reflex syncope; pacemaker.
晕厥的特征是短暂性意识丧失。吞咽性晕厥是晕厥的一种罕见病因，由迷走神经激活导致血管舒张和心动过缓引起，进而导致短暂性低血压和脑灌注不足。它通过临床病史、心脏及食管评估来诊断。我们报告一例有重要心脏病史患者的吞咽性晕厥病例。最初的心脏和食管检查正常。长期遥测显示吞咽时出现心动过缓，该患者接受了起搏器植入。吞咽性晕厥与多种食管和心脏疾病有关。治疗包括针对潜在病因；有时需要植入起搏器。关键词：晕厥；吞咽性晕厥；反射性晕厥；起搏器
