This case report highlights a rare instance of transient functional A-V heart block (vago-vagal syndrome) triggered by swallowing food.
Consider swallow-induced syncope in unexplained Adams-Stokes attacks; single case leaves open prevalence and management.
Case Reports1 August 1939TRANSIENT FUNCTIONAL A-V HEART BLOCK INDUCED BY THE SWALLOWING OF FOOD; CASE REPORTCHARLES SHOOKHOFF, M.D., F.A.C.P., LOUIS BLUMENFELD, M.D.CHARLES SHOOKHOFF, M.D., F.A.C.P.Search for more papers by this author, LOUIS BLUMENFELD, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-13-2-345 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis case of functional heart block is being reported because we believe this syndrome, and especially milder manifestations of it, may not be as uncommon as the few cases reported would lead one to believe. Instances of Adams-Stokes syndrome, due to overstimulation of the vagus and without apparent cardiac pathology, have been reported as early as 1875 by Thanhoffer1and in 1898 by Neuburger and Edinger,2and others. It was not until 1934, when Weiss and Ferris3reported their thoroughly studied cases of syncope of reflex vagal origin—which they aptly termed "Vago-Vagal Syndrome"—that the present generation of physicians was reminded...Bibliography1. THANHOFFER : Centralbl. f. d. med. Wissensch., 1875, p. 405. Google Scholar2. NEUBURGEREDINGER TL: Einseitiger fast totaler Mangel des Cerebellums, Varix oblongatae, Herztod durch Accessoriusreizung, Berl. klin. Wchnschr., 1898, xxxv, 69. Google Scholar3. WEISSFERRIS SEB: Adams-Stokes syndrome with transient complete heart block of vagovagal reflex origin; mechanism and treatment, Arch. Int. Med., 1934, liv, 931. CrossrefGoogle Scholar4. IGLAUERSCHWARTZ SBA: Heart block periodically induced by the swallowing of food in a patient with cardiospasm, Ann. Otol., Rhinol., and Laryngol., 1936, xlv, 875. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Brooklyn, New York*Received for publication June 21, 1938.From the Cardiovascular Division of the Department of Internal Medicine (Dr. Simon R. Blatteis, Chief) and the Nose and Throat Department of the Jewish Hospital of Brooklyn. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 August 1939Volume 13, Issue 2Page: 345-351KeywordsCardiology and cardiovascular diseasesFoodHeartPharynxReflexesSwallowingSyncope ePublished: 1 December 2008 Issue Published: 1 August 1939 PDF downloadLoading ...
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