Why the study?
Roemheld gastrocardiac syndrome is a frequently overlooked, reversible cause of reflex syncope linking gastrointestinal disturbances to cardiac symptoms.
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Design
Review and case report
Identifying gastrointestinal causes of reflex syncope and arrhythmias, such as Roemheld syndrome, is essential to avoid unnecessary permanent cardiac interventions.
This review highlights an uncommon yet reversible cause of reflex syncope that prevented an unnecessary pacemaker implantation. We present a rare instance of gastrocardiac syndrome, a frequently overlooked condition that links gastrointestinal disturbances with cardiac symptoms. This review underscores the importance of identifying modifiable causes of syncope before resorting to invasive treatments.
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BLENDEA et al. (2025) studied this question.
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