Dysphagia

, Volume 20, Issue 4, pp 273–277

Swallow Syncope in Association with Schatzki Ring and Hypertensive Esophageal Peristalsis: Report of Three Cases and Review of the Literature

  • Samer Gawrieh
  • Ty Carroll
  • Walter J. Hogan
  • Konrad H. Soergel
  • Reza Shaker
Article

DOI: 10.1007/s00455-005-0024-y

Cite this article as:
Gawrieh, S., Carroll, T., Hogan, W.J. et al. Dysphagia (2005) 20: 273. doi:10.1007/s00455-005-0024-y

Abstract

Syncope caused by swallowing-induced cardiac arrhythmia is an uncommon condition. The recognition of this syndrome is paramount but often difficult. We report three cases of deglutition syncope evaluated at our institution over a three-year period. Two patients had distal esophageal (Schatzki) ring and two had hypertensive peristaltic waves (commonly referred to as “nutcracker esophagus”), neither of which had been described before in association with deglutition syncope. Two patients underwent placement of a demand cardiac pacemaker with subsequent resolution of their syncopal symptoms, while the third patient refused any further intervention. Swallow syncope usually follows a benign course from a cardiac standpoint. Placement of a demand cardiac pacemaker can prevent recurrence of presyncopal and syncopal attacks and their untoward consequences.

Keywords

Schatzki ringSwallow syncopeHypertensive esophageal peristalsisDeglutitionDeglutition disordersnutcracker esophagus

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Samer Gawrieh
    • 1
  • Ty Carroll
    • 1
  • Walter J. Hogan
    • 1
  • Konrad H. Soergel
    • 1
  • Reza Shaker
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineMedical College of WisconsinMilwaukeeUSA