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Postgraduate Medical Journal 2008;84:160-162; doi:10.1136/pgmj.2007.062869
Copyright © 2008 The Fellowship of Postgraduate Medicine
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CASE REPORTS

Swallow syncope: reflex or reflux?

S Bajwa , J A D Stewart , S Treadwell , D R Lakhani

Leicester Royal Infirmary, Leicester, UK

Correspondence to:
Dr S Bajwa, Leicester Royal Infirmary, Infirmary Square, Leicester LE1 5WW, UK; drsbajwa{at}hotmail.com

A 51-year-old man presented with symptoms of syncope on consuming solid foods. He had a 5 year history of intermittent symptoms on eating only solids and his cardiovascular investigations revealed bradycardia during food ingestion. He was treated by insertion of a pacemaker with cessation of his syncopal symptoms.

Keywords: swallow syncope; deglutition syncope; gastro-oesophageal reflux






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