Marshall T M, Mizgala H F, Yeung-Lai-Wah J A, Steinbrecher U P
Division of Cardiology, University of British Columbia, Vancouver.
Can J Cardiol. 1993 Dec;9(10):865-8.
A case of deglutition syncope of 20 years' duration in a patient without cardiac or esophageal disease is presented. The therapeutic efficacy of beta-blockade is documented by symptomatic improvement, repeat esophageal balloon inflation and tilt-table testing. This suggests the Bezold-Jarisch reflex or sympathetic nervous system may be involved in the pathogenesis of deglutition syncope.
本文报告了一例持续20年的吞咽性晕厥病例,患者无心脏或食管疾病。β受体阻滞剂的治疗效果通过症状改善、重复食管气囊充气和倾斜试验得到证实。这表明贝佐尔德-雅里什反射或交感神经系统可能参与了吞咽性晕厥的发病机制。