Skip to main content
Erschienen in: Dysphagia 4/2005

01.10.2005

Swallow Syncope in Association with Schatzki Ring and Hypertensive Esophageal Peristalsis: Report of Three Cases and Review of the Literature

verfasst von: Samer Gawrieh, MD, Ty Carroll, MD, Walter J. Hogan, MD, Konrad H. Soergel, MD, Reza Shaker, MD

Erschienen in: Dysphagia | Ausgabe 4/2005

Einloggen, um Zugang zu erhalten

Abstract

Syncope caused by swallowing-induced cardiac arrhythmia is an uncommon condition. The recognition of this syndrome is paramount but often difficult. We report three cases of deglutition syncope evaluated at our institution over a three-year period. Two patients had distal esophageal (Schatzki) ring and two had hypertensive peristaltic waves (commonly referred to as “nutcracker esophagus”), neither of which had been described before in association with deglutition syncope. Two patients underwent placement of a demand cardiac pacemaker with subsequent resolution of their syncopal symptoms, while the third patient refused any further intervention. Swallow syncope usually follows a benign course from a cardiac standpoint. Placement of a demand cardiac pacemaker can prevent recurrence of presyncopal and syncopal attacks and their untoward consequences.
Literatur
1.
Zurück zum Zitat Spens T: Medical Commentary 7:463, 1793, quoted by Major RH: Classical Descriptions of Disease. Springfield, IL: Charles C. Thomas, 1939, p 358 Spens T: Medical Commentary 7:463, 1793, quoted by Major RH: Classical Descriptions of Disease. Springfield, IL: Charles C. Thomas, 1939, p 358
2.
Zurück zum Zitat Mathias CJ, Deguchi K, Schatz I. Observations on recurrent syncope and presyncope in 641 patients. Lancet 357(9253):348–353, 2001CrossRefPubMed Mathias CJ, Deguchi K, Schatz I. Observations on recurrent syncope and presyncope in 641 patients. Lancet 357(9253):348–353, 2001CrossRefPubMed
3.
Zurück zum Zitat Haumer M, Geppert A, Karth GD, Gschwandtner ME, Neunteufl T, Zauner C, et al.: Transient swallow syncope during periods of hypoxia in a 67-year-old patient after self-extubation. Crit Care Med 28(5):1635–1637, 2000PubMed Haumer M, Geppert A, Karth GD, Gschwandtner ME, Neunteufl T, Zauner C, et al.: Transient swallow syncope during periods of hypoxia in a 67-year-old patient after self-extubation. Crit Care Med 28(5):1635–1637, 2000PubMed
4.
Zurück zum Zitat Bortolotti M, Cirignotta F, Labo G: Atrioventricular block induced by swallowing in a patient with diffuse esophageal spasm. JAMA 248(18):2297–2299, 1982CrossRefPubMed Bortolotti M, Cirignotta F, Labo G: Atrioventricular block induced by swallowing in a patient with diffuse esophageal spasm. JAMA 248(18):2297–2299, 1982CrossRefPubMed
5.
6.
Zurück zum Zitat Tolman KG, Ashworth WD: Syncope induced by dysphagia. Correction by esophageal dilatation. Am J Dig Dis 16(11):1026–1031, 1971CrossRefPubMed Tolman KG, Ashworth WD: Syncope induced by dysphagia. Correction by esophageal dilatation. Am J Dig Dis 16(11):1026–1031, 1971CrossRefPubMed
7.
Zurück zum Zitat Tomlinson IW, Fox KM: Carcinoma of the esophagus with “swallow syncope” Br Med J 2(5966):315–316, 1975PubMed Tomlinson IW, Fox KM: Carcinoma of the esophagus with “swallow syncope” Br Med J 2(5966):315–316, 1975PubMed
8.
Zurück zum Zitat Golf S, Forfang K: Congenital swallowing-induced symptomatic heart block: a case report of a probably hereditary disorder. Pacing Clin Electrophysiol 9(4):602–605, 1986PubMed Golf S, Forfang K: Congenital swallowing-induced symptomatic heart block: a case report of a probably hereditary disorder. Pacing Clin Electrophysiol 9(4):602–605, 1986PubMed
9.
Zurück zum Zitat Nakagawa S, Hisanaga S, Kondoh H, Koiwaya Y, Tanaka K: A case of swallow syncope induced by vagotonic visceral reflex resulting in atrioventricular node suppression. J Electrocardiol 20(1):65–69, 1987CrossRefPubMed Nakagawa S, Hisanaga S, Kondoh H, Koiwaya Y, Tanaka K: A case of swallow syncope induced by vagotonic visceral reflex resulting in atrioventricular node suppression. J Electrocardiol 20(1):65–69, 1987CrossRefPubMed
10.
Zurück zum Zitat Waddington JK, Matthews HR, Evans CC, Ward DW: Letter: Carcinoma of the oesophagus with “swallow syncope.” Br Med J 3(5977):232, 1975PubMed Waddington JK, Matthews HR, Evans CC, Ward DW: Letter: Carcinoma of the oesophagus with “swallow syncope.” Br Med J 3(5977):232, 1975PubMed
11.
Zurück zum Zitat Armstrong PW, McMillan DG, Simon JB. Swallow syncope. Can Med Assoc J 132(11):1281–1284, 1985PubMed Armstrong PW, McMillan DG, Simon JB. Swallow syncope. Can Med Assoc J 132(11):1281–1284, 1985PubMed
12.
Zurück zum Zitat Guberman A, Catching J: Swallow syncope. Can J Neurol Sci 13(3):267–269, 1986PubMed Guberman A, Catching J: Swallow syncope. Can J Neurol Sci 13(3):267–269, 1986PubMed
13.
Zurück zum Zitat Marshall TM, Mizgala HF, Yeung-Lai-Wah JA, Steinbrecher UP: Successful treatment of deglutition syncope with oral beta-adrenergic blockade. Can J Cardiol 9(10): 865–868, 1993PubMed Marshall TM, Mizgala HF, Yeung-Lai-Wah JA, Steinbrecher UP: Successful treatment of deglutition syncope with oral beta-adrenergic blockade. Can J Cardiol 9(10): 865–868, 1993PubMed
14.
Zurück zum Zitat Antonelli D, Rosenfeld T: Deglutition syncope associated with carotid sinus hypersensitivity. Pacing Clin Electrophysiol 20(9 Pt 1):2282–2283, 1997PubMed Antonelli D, Rosenfeld T: Deglutition syncope associated with carotid sinus hypersensitivity. Pacing Clin Electrophysiol 20(9 Pt 1):2282–2283, 1997PubMed
15.
Zurück zum Zitat Nakano T, Okano H, Konishi T, Ma W, Takezawa H: Swallow syncope after aneurysmectomy of the thoracic aorta. Heart Vessels 3(1):42–46, 1987CrossRefPubMed Nakano T, Okano H, Konishi T, Ma W, Takezawa H: Swallow syncope after aneurysmectomy of the thoracic aorta. Heart Vessels 3(1):42–46, 1987CrossRefPubMed
16.
Zurück zum Zitat Brick JE, Lowther CM, Deglin SM: Cold water syncope. South Med J 71(12):1579–1580, 1978PubMed Brick JE, Lowther CM, Deglin SM: Cold water syncope. South Med J 71(12):1579–1580, 1978PubMed
17.
Zurück zum Zitat Kunis RL, Garfein OB, Pepe AJ, Dwyer Jr EM: Deglutition syncope and atrioventricular block selectively induced by hot food and liquid. Am J Cardiol 55(5):613, 1985CrossRefPubMed Kunis RL, Garfein OB, Pepe AJ, Dwyer Jr EM: Deglutition syncope and atrioventricular block selectively induced by hot food and liquid. Am J Cardiol 55(5):613, 1985CrossRefPubMed
18.
Zurück zum Zitat Kunimoto S, Sibata S, Abiru M, Takigami Y, Fujise Y, Hanawa K, et al.: A case of swallow syncope induced by vagovagal reflex. Jpn J Med 29(2):199–202, 1990PubMed Kunimoto S, Sibata S, Abiru M, Takigami Y, Fujise Y, Hanawa K, et al.: A case of swallow syncope induced by vagovagal reflex. Jpn J Med 29(2):199–202, 1990PubMed
20.
Zurück zum Zitat Elam MP, Laird JR, Johnson S, Stratton JR: Swallow syncope associated with complete atrioventricular block: a case report and review of the literature. Mil Med 154(9):465–466, 1989PubMed Elam MP, Laird JR, Johnson S, Stratton JR: Swallow syncope associated with complete atrioventricular block: a case report and review of the literature. Mil Med 154(9):465–466, 1989PubMed
21.
Zurück zum Zitat Kakuchi H, Sato N, Kawamura Y: Swallow syncope associated with complete atrioventricular block and vasovagal syncope. Heart 83(6):702–704, 2000CrossRefPubMed Kakuchi H, Sato N, Kawamura Y: Swallow syncope associated with complete atrioventricular block and vasovagal syncope. Heart 83(6):702–704, 2000CrossRefPubMed
22.
Zurück zum Zitat Wik B, Hillestad L: Deglutition syncope. Br Med J 3(5986):747, 1975PubMed Wik B, Hillestad L: Deglutition syncope. Br Med J 3(5986):747, 1975PubMed
23.
Zurück zum Zitat Shapira Y, Strasberg B, Ben-Gal T: Deglutition syncope with coexistent carotid sinus hypersensitivity. Chest 99(6):1541–1543, 1991PubMed Shapira Y, Strasberg B, Ben-Gal T: Deglutition syncope with coexistent carotid sinus hypersensitivity. Chest 99(6):1541–1543, 1991PubMed
24.
Zurück zum Zitat Deguchi K, Mathias CJ: Continuous haemodynamic monitoring in an unusual case of swallow induced syncope. J Neurol Neurosurg Psychiatry 67(2):220–222, 1999PubMed Deguchi K, Mathias CJ: Continuous haemodynamic monitoring in an unusual case of swallow induced syncope. J Neurol Neurosurg Psychiatry 67(2):220–222, 1999PubMed
25.
Zurück zum Zitat Drake CE, Rollings HE, Ham OE Jr, Heidary DH, Yeh TJ: Visually provoked complete atrioventricular block: an unusual form of deglutition syncope. Am J Cardiol 53(9):1408–1409, 1984CrossRefPubMed Drake CE, Rollings HE, Ham OE Jr, Heidary DH, Yeh TJ: Visually provoked complete atrioventricular block: an unusual form of deglutition syncope. Am J Cardiol 53(9):1408–1409, 1984CrossRefPubMed
26.
Zurück zum Zitat Ausubel K, Gitler B: Swallow syncope in an otherwise healthy young man. Am Heart J 113(3):831–832, 1987CrossRefPubMed Ausubel K, Gitler B: Swallow syncope in an otherwise healthy young man. Am Heart J 113(3):831–832, 1987CrossRefPubMed
27.
Zurück zum Zitat Farb A, Valenti SA: Swallow syncope. Md Med J 48(4):151–154, 1999PubMed Farb A, Valenti SA: Swallow syncope. Md Med J 48(4):151–154, 1999PubMed
28.
Zurück zum Zitat Gordon J, Saleem SM, Ngaage DL, Thorpe JA: Swallow syncope associated with paroxysmal atrial fibrillation. Eur J Cardiothorac Surg 21(3):587–590, 2002CrossRefPubMed Gordon J, Saleem SM, Ngaage DL, Thorpe JA: Swallow syncope associated with paroxysmal atrial fibrillation. Eur J Cardiothorac Surg 21(3):587–590, 2002CrossRefPubMed
29.
Zurück zum Zitat Maekawa T, Suematsu M, Shimada T, Go M, Shimada T: Unusual swallow syncope caused by huge hiatal hernia. Intern Med 41(3):199–201, 2002PubMed Maekawa T, Suematsu M, Shimada T, Go M, Shimada T: Unusual swallow syncope caused by huge hiatal hernia. Intern Med 41(3):199–201, 2002PubMed
30.
Zurück zum Zitat Lichstein E, Chadda KD: Atrioventricular block produced by swallowing, with documentation by His bundle recordings. Am J Cardiol 29(4):561–563, 1972CrossRefPubMed Lichstein E, Chadda KD: Atrioventricular block produced by swallowing, with documentation by His bundle recordings. Am J Cardiol 29(4):561–563, 1972CrossRefPubMed
31.
Zurück zum Zitat Alstrup P, Pedersen SA: A case of syncope on swallowing secondary to diffuse oesophageal spasm. Acta Med Scand 193(4):365–368, 1973PubMed Alstrup P, Pedersen SA: A case of syncope on swallowing secondary to diffuse oesophageal spasm. Acta Med Scand 193(4):365–368, 1973PubMed
32.
Zurück zum Zitat Berges W, Wienbeck M: Cardiac arrhythmia during pneumatic dilatation of achalasia of the esophagus. Z Gastroenterol. 16(6):376–380, 1978PubMed Berges W, Wienbeck M: Cardiac arrhythmia during pneumatic dilatation of achalasia of the esophagus. Z Gastroenterol. 16(6):376–380, 1978PubMed
33.
Zurück zum Zitat Levin B, Posner JB: Swallow syncope. Report of a case and review of the literature. Neurology 22(10):1086–1093, 1972PubMed Levin B, Posner JB: Swallow syncope. Report of a case and review of the literature. Neurology 22(10):1086–1093, 1972PubMed
34.
Zurück zum Zitat Palmer ED: The abnormal upper gastrointestinal vagovagal reflexes that affect the heart. Am J Gastroenterol 66(6):513–522, 1976PubMed Palmer ED: The abnormal upper gastrointestinal vagovagal reflexes that affect the heart. Am J Gastroenterol 66(6):513–522, 1976PubMed
35.
Zurück zum Zitat Basker MR, Cooper DK: Esophageal syncope. Ann R Coll Surg Engl 82(4):249–253, 2000PubMed Basker MR, Cooper DK: Esophageal syncope. Ann R Coll Surg Engl 82(4):249–253, 2000PubMed
36.
Zurück zum Zitat Carey BJ, de Caestecker J, Panerai RB: More on deglutition syncope. N Engl J Med 341(17):1316–1317, 1999CrossRefPubMed Carey BJ, de Caestecker J, Panerai RB: More on deglutition syncope. N Engl J Med 341(17):1316–1317, 1999CrossRefPubMed
37.
Zurück zum Zitat Sy AO, Plantholt S: Swallowing-induced atrioventricular block. South Med J 84(10):1274–1275, 1991PubMed Sy AO, Plantholt S: Swallowing-induced atrioventricular block. South Med J 84(10):1274–1275, 1991PubMed
38.
Zurück zum Zitat Sapru R: An unusual cause of syncope. Proc R Soc Med 61(10):955–6, 1968PubMed Sapru R: An unusual cause of syncope. Proc R Soc Med 61(10):955–6, 1968PubMed
39.
Zurück zum Zitat Mitchell GA, Warwick R: The dorsal vagal nucleus. Acta Anat (Basel) 25(2–4):371–395, 1955 Mitchell GA, Warwick R: The dorsal vagal nucleus. Acta Anat (Basel) 25(2–4):371–395, 1955
Metadaten
Titel
Swallow Syncope in Association with Schatzki Ring and Hypertensive Esophageal Peristalsis: Report of Three Cases and Review of the Literature
verfasst von
Samer Gawrieh, MD
Ty Carroll, MD
Walter J. Hogan, MD
Konrad H. Soergel, MD
Reza Shaker, MD
Publikationsdatum
01.10.2005
Erschienen in
Dysphagia / Ausgabe 4/2005
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-005-0024-y

Weitere Artikel der Ausgabe 4/2005

Dysphagia 4/2005 Zur Ausgabe

Erratum

Erratum II

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

HNO-Op. auch mit über 90?

16.04.2024 HNO-Chirurgie Nachrichten

Mit Blick auf das Risiko für Komplikationen nach elektiven Eingriffen im HNO-Bereich scheint das Alter der Patienten kein ausschlaggebender Faktor zu sein. Entscheidend ist offenbar, wie fit die Betroffenen tatsächlich sind.

Intrakapsuläre Tonsillektomie gewinnt an Boden

16.04.2024 Tonsillektomie Nachrichten

Gegenüber der vollständigen Entfernung der Gaumenmandeln hat die intrakapsuläre Tonsillektomie einige Vorteile, wie HNO-Fachleute aus den USA hervorheben. Sie haben die aktuelle Literatur zu dem Verfahren gesichtet.

Bilateraler Hörsturz hat eine schlechte Prognose

15.04.2024 Hörsturz Nachrichten

Die Mehrzahl der Menschen mit Hörsturz ist einseitig betroffen, doch auch ein beidseitiger Hörsturz ist möglich. Wie häufig solche Fälle sind und wie sich ihr Verlauf darstellt, hat eine HNO-Expertenrunde aus den USA untersucht.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.