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PubMed · 16052444

["Coffee swallowing syncope"].

P Sendi·Ch Schmidt
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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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Adrenergic beta-AntagonistsAdultAngiotensin Receptor AntagonistsAntihypertensive AgentsAtenololCoffeeDeglutitionDiagnosis, DifferentialElectrocardiographyHeart BlockHot TemperatureHumansMalePacemaker, ArtificialRecurrenceSyncopeSyncope, VasovagalCase ReportsEnglish AbstractJournal Article

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P Sendi, Ch Schmidt. 2005-08-05. ["Coffee swallowing syncope"].. https://doi.org/10.1055/s-2005-871901

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