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Deglutition Syncope with Coexistent Carotid Sinus Hypersensitivity

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Presentation on theme: "Deglutition Syncope with Coexistent Carotid Sinus Hypersensitivity"— Presentation transcript:

1 Deglutition Syncope with Coexistent Carotid Sinus Hypersensitivity
Yaron Shapira, M.D., Boris Strasberg, M.D., Tuvia Ben-Gal, M.D.  CHEST  Volume 99, Issue 6, Pages (June 1991) DOI: /chest Copyright © 1991 The American College of Chest Physicians Terms and Conditions

2 Figure 1 Electrocardiogram during swallowing of carlonated beverage while the patient was still receiving atenolol and verapamil. Monitor lead shows paroxysmal A-V block with asystole of 7.1 s. Arrows at nonconducted P waves. CHEST  , DOI: ( /chest ) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

3 Figure 2 Time line (TL), leads 1, 2, 4, and V1, His bundle (HBE), and radial artery (RA) recording during swallowing. There is sinus slowing and 2:1 intranodal A-V block. CHEST  , DOI: ( /chest ) Copyright © 1991 The American College of Chest Physicians Terms and Conditions

4 Figure 3 Time line (TL), leads 1, 2, 3, and V1, radial artery (RA), and atrial electrogram (AE) recording during right carotid massage. There is sudden sinus slowing, paroxysmal A-V block lasting 3.66 s, and significant decrease in blood pressure with slow recovery. CHEST  , DOI: ( /chest ) Copyright © 1991 The American College of Chest Physicians Terms and Conditions


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