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["Coffee swallowing syncope"].

P Sendi1, Ch Schmidt

  • 1Medizinische Universitätsklinik, Kantonsspital Liestal, Schweiz. sendi-pa@magnet.ch

Deutsche Medizinische Wochenschrift (1946)
|July 30, 2005
PubMed
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A rare case of vasovagal syncope triggered by hot coffee consumption highlights the importance of considering esophageal-cardiac reflexes. This finding emphasizes the need for thorough cardiac investigation in patients experiencing syncope after meals.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Neurology

Background:

  • Vasovagal syncope is a common cause of syncope, often triggered by specific stimuli.
  • Meal-induced syncope, particularly after hot beverages, is less commonly reported.

Observation:

  • A 38-year-old male presented with recurrent syncope, notably after consuming hot coffee.
  • Initial investigations were unremarkable, but event monitoring revealed high-grade atrioventricular block (Mobitz type 2 and 3) induced by swallowing, leading to syncope.

Findings:

  • The patient was diagnosed with an esophageal-cardiac reflex mechanism causing syncope.
  • High-grade atrioventricular block, triggered by swallowing hot coffee, was identified as the underlying cardiac arrhythmia.

Implications:

Related Experiment Videos

  • This case underscores the importance of considering esophageal-cardiac reflex mechanisms in patients with meal-induced syncope.
  • The findings suggest that hot meals, though rare, can precipitate vasovagal syncope through cardiac arrhythmias.
  • Management involved pacemaker implantation and adjustment of antihypertensive therapy.