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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance

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Swallow syncope: reflex or reflux?

S Bajwa¹, J A D Stewart, S Treadwell

¹Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK. drsbajwa@hotmail.com

Postgraduate Medical Journal

|March 29, 2008

Summary

A 51-year-old man experienced syncope (fainting) when eating solid foods due to bradycardia. A pacemaker implantation successfully resolved these syncopal episodes, demonstrating an effective treatment for food-induced cardiac events.

Area of Science:

Cardiology
Gastroenterology

Background:

Syncope, or fainting, can be triggered by various physiological events.
Food intake can precipitate specific cardiovascular responses in susceptible individuals.

Observation:

A 51-year-old male patient reported a 5-year history of intermittent syncope exclusively associated with the consumption of solid foods.
Cardiovascular investigations during food ingestion identified significant bradycardia (slow heart rate).

Findings:

The patient's syncopal episodes were directly linked to bradycardia occurring during solid food consumption.
Pacemaker insertion effectively eliminated the syncopal symptoms.

Implications:

This case highlights the importance of considering cardiac causes, specifically reflex bradycardia, in patients presenting with food-induced syncope.

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Pacemaker therapy can be a successful intervention for managing this specific type of autonomic dysfunction related to eating.