Abstract
A case of deglutition syncope of 20 years' duration in a patient without cardiac or esophageal disease is presented. The therapeutic efficacy of beta-blockade is documented by symptomatic improvement, repeat esophageal balloon inflation and tilt-table testing. This suggests the Bezold-Jarisch reflex or sympathetic nervous system may be involved in the pathogenesis of deglutition syncope.
MeSH terms
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Administration, Oral
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Adrenergic beta-Antagonists / administration & dosage
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Adrenergic beta-Antagonists / therapeutic use*
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Deglutition Disorders / complications*
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Deglutition Disorders / drug therapy
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Humans
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Male
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Middle Aged
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Syncope / drug therapy
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Syncope / etiology*
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Vasomotor System / drug effects
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Vasomotor System / physiopathology
Substances
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Adrenergic beta-Antagonists