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Analgesic Effect of Tuina on Rat Models with Compression of the Dorsal Root Ganglion Pain
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When water hurts.

Francesco Casella1, Alessandro Diana, Mara Bulgheroni

  • 1Department of Clinical Sciences, Internal Medicine II, L. Sacco Hospital, University of Milan, Milan, Italy.

Pacing and Clinical Electrophysiology : PACE
|August 29, 2009
PubMed
Summary
This summary is machine-generated.

Deglutition syncope, a rare cause of fainting during swallowing, was successfully treated in a patient with sick-sinus syndrome. Pacemaker implantation resolved recurrent syncopal episodes triggered by drinking.

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Area of Science:

  • Cardiology
  • Neurology
  • Gastroenterology

Background:

  • Deglutition syncope is a rare neurally mediated syncope triggered by the act of swallowing.
  • This condition can lead to significant morbidity and requires accurate diagnosis and management.

Observation:

  • A 66-year-old man presented with recurrent syncope episodes exclusively during the ingestion of beverages.
  • Investigations revealed transient asystole and a 15-second complete atrioventricular block during swallowing episodes.
  • Esophageal studies showed nonspecific dysmotility, but electrophysiologic study identified underlying sick-sinus syndrome.

Findings:

  • The patient's syncopal events were directly linked to cardiac arrhythmias (asystole and AV block) during swallowing.
  • Sick-sinus syndrome was identified as the underlying cause of the observed cardiac conduction abnormalities.
  • Implantation of a DDD pacemaker effectively resolved the syncopal episodes and associated arrhythmias.

Implications:

  • This case highlights the importance of considering cardiac causes, specifically sick-sinus syndrome, in patients with suspected deglutition syncope.
  • Pacemaker implantation is a highly effective treatment for deglutition syncope secondary to cardiac conduction abnormalities.
  • Early diagnosis and intervention can prevent serious outcomes associated with neurally mediated syncope.