Swallow-induced syncope in a patient with achalasia

TURAN İ., Ersoz G., TÖRÜNER M.

DYSPHAGIA, cilt.20, sa.3, ss.238-240, 2005 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 3
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1007/s00455-005-0014-0
  • Dergi Adı: DYSPHAGIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.238-240
  • Anahtar Kelimeler: achalasia, syncope, arrhythmia, esophagus, deglutition, deglutition disorders, DEGLUTITION SYNCOPE, AIRWAY-OBSTRUCTION
  • Ankara Üniversitesi Adresli: Evet

Özet

A 48-year-old man was referred for the evaluation of dysphagia and syncope. He suffered from both dysphagia and transient loss of consciousness when eating solid food, especially bread. An upper gastrointestinal barium examination and esophageal manometry suggested achalasia. Ambulatory ECG revealed marked sinus bradycardia when experiencing a syncopal episode following the ingestion of a solid meal. A permanent pacemaker was implanted and the patient's syncopal attacks were relieved following this procedure. However, the dysphagia and cardiac arrhythmia completely disappeared only following a successful pneumatic balloon dilatation for achalasia. This observation suggests that swallowing-induced sinus bradycardia and syncope might occur in the course of achalasia and these rhythm abnormalities could be relieved by successful treatment of the achalasia.