["Coffee swallowing syncope"]. / "Kaffeesynkope".
Dtsch Med Wochenschr
; 130(31-32): 1814-7, 2005 Aug 05.
Article
en De
| MEDLINE
| ID: mdl-16052444
ABSTRACT
HISTORY A 38-year-old man was admitted with recurrent syncope. Remarkably the patient had lost consciousness after drinking hot coffee. A vasovagal syncope was considered as the most likely diagnosis. INVESTIGATIONS AND DIAGNOSIS Following various investigations no pathological findings were revealed. Event-monitoring (R-test) showed high grade atrioventricular block (2 Mobitz and 3 ) induced by swallowing with subsequent syncope. TREATMENT AND COURSE A two-chamber pacemaker was implanted and the antihypertensive therapy was changed from a beta-blocker to an AT II receptor antagonist. CONCLUSION:
Typical vasovagal symptoms during or shortly after meals followed by syncope should point towards an oesophago-cardia reflex mechanism; including a cardiac arrhythmia. Known to be usually triggered by cold meals, vasovagal reflex after hot meals is rare.
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Bases de datos:
MEDLINE
Asunto principal:
Síncope
/
Café
/
Síncope Vasovagal
/
Deglución
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
De
Revista:
Dtsch Med Wochenschr
Año:
2005
Tipo del documento:
Article