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- Komandoor Srivathsan and Richard W Lee.
- Division of Cardiovascular Diseases, Mayo Clinic Scottsdale, 13400 East Shea Blvd., Scottsdale, AZ 85259.
- Pacing Clin Electrophysiol. 2003 Mar 1; 26 (3): 781-2.
AbstractSwallow syncope is a rare disorder caused by hypersensitive vagotonic reflex in response to deglutition. A 26-year-old man complained of recurrent light-headedness and near syncope on swallowing was hospitalized for monitoring and evaluation. Continuous electrocardiographic and invasive arterial pressure monitoring showed ingestion of a solid meal evoked light-headedness and complete AV block without an escape rhythm that lasted for 5.6 seconds. This patient received a Medtronic Kappa (401B) DDDR pacemaker with the rate drop feature. The patient has remained asymptomatic on follow-up for the past 2 years.
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