초록 열기/닫기 버튼

저자들은 탄산음료 섭취 후 동정지 및 접합부 이탈박동을 보이는 연하실신을 가진 환자에 미주신경성 실신이 동반된 1예를 경험하여 이를 보고하는 바이다.


A 73 year-old male presented with recurrent episodes of syncope associated with swallowing. Head up tilt test revealed positive response and electrocardiogram revealed a sinus pause with swallowing of carbonated beverages. Underlying esophageal or cardiac disease was not found after evaluation. These findings suggest that a disturbance in the autonomic feedback loop of cardiovascular reflex led to the vasovagal syncope and swallow syncope in this patient. We experienced a case of swallow syncope with sinus pause and vasovagal syncope diagnosed by head up tilt test. This is the first case in Korea that presented with both swallow syncope and vasovagal syncope.(Korean J Med 68:688-691, 2005)


키워드열기/닫기 버튼

Swallow syncope, Vasovagal syncope, Sinus pause