| Literature DB >> 2232368 |
S Kunimoto1, S Sibata, M Abiru, Y Takigami, Y Fujise, K Hanawa, I Yamaji, K Shimamoto, O Iimura.
Abstract
A 65-year-old man experienced syncope associated with advanced atrioventricular (AV) block upon swallowing. Continuous electrocardiogram (ECG) monitoring revealed first and second degree AV block. ECG revealed advanced AV block (Max R-R 6.38 s) upon swallowing, a cold drink. Demand ventricular pacing alleviated his symptoms. In this patient, the advanced AV block might have been precipitated by a vagovagal reflex triggered by expansion of the esophagus, resulting in selective suppression of the atrioventricular node.Entities:
Mesh：
Year: 1990 PMID： 2232368 DOI： 10.2169/internalmedicine1962.29.199
Source DB: PubMed Journal: Jpn J Med ISSN： 0021-5120