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Swallow syncope in association with Schatzki ring and hypertensive esophageal peristalsis: report of three cases and review of the literature. Dysphagia 2005;20(4):273-7

Date

04/25/2006

Pubmed ID

16633871

DOI

10.1007/s00455-005-0024-y

Scopus ID

2-s2.0-33646404899   10 Citations

Abstract

Syncope caused by swallowing-induced cardiac arrhythmia is an uncommon condition. The recognition of this syndrome is paramount but often difficult. We report three cases of deglutition syncope evaluated at our institution over a three-year period. Two patients had distal esophageal (Schatzki) ring and two had hypertensive peristaltic waves (commonly referred to as "nutcracker esophagus"), neither of which had been described before in association with deglutition syncope. Two patients underwent placement of a demand cardiac pacemaker with subsequent resolution of their syncopal symptoms, while the third patient refused any further intervention. Swallow syncope usually follows a benign course from a cardiac standpoint. Placement of a demand cardiac pacemaker can prevent recurrence of presyncopal and syncopal attacks and their untoward consequences.

Author List

Gawrieh S, Carroll T, Hogan WJ, Soergel KH, Shaker R

Authors

Ty Carroll MD Staff Physician in the Multi-Specialty department at Medical College of Wisconsin
Reza Shaker MD Assoc Provost, Sr Assoc Dean, Ctr Dir, Chief, Prof in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Arrhythmias, Cardiac
Deglutition Disorders
Electrocardiography
Esophageal Motility Disorders
Esophageal Sphincter, Upper
Esophagoscopy
Female
Follow-Up Studies
Humans
Male
Manometry
Middle Aged
Pacemaker, Artificial
Severity of Illness Index
Syncope
Syndrome
Treatment Outcome