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10.14309/crj.2015.88

http://scihub22266oqcxt.onion/10.14309/crj.2015.88
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C4612749!4612749!26504869
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suck abstract from ncbi


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pmid26504869      ACG+Case+Rep+J 2015 ; 3 (1): 20-2
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  • Deglutition Syncope: A Case Report and Review of the Literature #MMPMID26504869
  • Kahn A; Koepke LM; Umar SB
  • ACG Case Rep J 2015[Oct]; 3 (1): 20-2 PMID26504869show ga
  • Deglutition syncope (DS) is a rare, neurally-mediated syncopal syndrome arising from an aberrant vagotonic reflex during swallow-associated esophageal dilation. Its association with gastroesophageal disorders often prompts gastroenterology consultation. An 89-year-old man with recent dysphagia and otalgia was admitted after a syncopal episode occurred while eating. Esophageal imaging and endoscopy demonstrated no causative abnormalities. Maxillofacial imaging revealed chronic sinusitis and mastoiditis. Telemetry monitoring demonstrated high-grade atrioventricular block and pause associated with swallowing. His symptoms and swallow-associated arrhythmia resolved after dual chamber pacemaker implantation. DS is highly treatable once identified and multidisciplinary coordination is helpful in optimizing outcomes and avoiding superfluous testing.
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