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.