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Cited by 24Cardiovascular Syncope and Autonomic DisordersDysphagia Assessment and ManagementGastrointestinal motility and disorders

Swallow syncope: Clinical presentation, diagnostic criteria, and therapeutic options

Open access
Girotra, Mohit, Garg, Shashank, Glasser, Stephen, Dutta, SudhirK·2014·Saudi Journal of Gastroenterology
DOI 10.4103/1319-3767.136932PMC PMC4131302
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Abstract

We recently encountered three patients with episodes of syncope associated with food ingestion. A 31-year-old woman had an episode of syncope in the hospital while drinking soda. Transient asystole was noted on the telemonitor, confirming the diagnosis of swallow syncope. The other two patients were 78- and 80 year old gentlemen, respectively, who presented with recurrent and transient episodes of dizziness during deglutition. Extensive work-up of syncope was negative in both cases and a diagnosis of swallow syncope was made by clinical criteria. These cases illustrate the challenging problem of swallow syncope. The diagnosis can be suspected on the basis of clinical presentation and confirmed with the demonstration of transient brady-arrhythmia during deglutition. Medical management includes avoiding trigger foods, use of anticholinergics, and/or placement of a permanent cardiac pacemaker.

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Cites

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Evidence for treatment of situational syncope is limited mainly to case reports, small case series, and small observational studies.

    “Evidence for treatment is limited mainly to case reports, small case series, and small observational studies (431,433–436).”

    From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope (2017) · cites this paper as [435]

    The Discussion (page not supplied) says fewer than 100 cases of swallow syncope had been published, and the paper presents three treated cases. This supports a limited, case-based treatment literature for swallow syncope, but it does not establish the claimed mix of small case series and observational studies or extend that assessment to situational syncope generally. (LLM, conf=0.83)

    Experimental — accuracy not yet measured

  • Evidence for treatment of situational syncope is limited mainly to case reports, small case series, and small observational studies.

    “Evidence for treatment is limited mainly to case reports, small case series, and small observational studies (280,282–285).”

    From 2017 ACC/AHA/HRS Guideline for the Evaluation and Management of Patients With Syncope: Executive Summary (2017) · cites this paper as [284]

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Cites

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Research works printed but not linked: 1

  1. [12]Kopald HH Roth HP Fleshler B Pritchard WH Vagovagal syncope; report of a case associated with diffuse esophageal spasm N Engl J Med 1964 271 1238 41 14234269

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Authors
Girotra, M., Garg, S., Glasser, S., & Dutta, S.
Affiliations
  • Johns Hopkins University (US)
  • Sinai Hospital (US)
Corresponding author
Girotra, Mohit
ORCID
Venue
Saudi Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014
Volume
20
Issue
4
Pages
207
ISSN
1319-3767 (ISSN-L)
DOI
10.4103/1319-3767.136932
PMC
PMC4131302
OpenAlex
W2009096679
Cited by
24
References
22
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2022: 1 · 2021: 3 · 2019: 2 · 2018: 1 · 2017: 9 · 2015: 2 · 2014: 2
FWCI
4.29
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Saudi Journal of Gastroenterology (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
  • Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Keywords
syncope, food ingestion, swallowing, anticholinergic agents, cardiac pacemaker, dietary triggers, elderly patients, dizziness
MeSH terms
Adult, Aged, Aged, 80 and over, Deglutition, Electrocardiography, Female, Humans, Male, Syncope, Endoscopy, Digestive System

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