| 내시경 검사 중 발생된 연하 실신 1예 |
| 최창수·김태현·김남호·최석채·나용호 |
| 원광대학교 의과대학 내과학교실 |
| A Case of Swallowing Syncope Caused by Endoscopic Examination |
| Chang Soo Choi, M.D., Tae Hyeon Kim, M.D., Nam Ho Kim, M.D., Suck Chei Choi, M.D. and Yong Ho Nah, M.D. |
| Department of Internal Medicine, College of Medicine, Wonkwang University, Iksan, Korea |
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| Abstract |
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Swallowing syncope is thought to be induced by an abnormal esophagovagal reflex arc that leads to transient bradyarrhythmia. Bradyarrhythmia in the response to swallowing produce decreased cardiac output and cerebral perfusion which result in loss of consciousness. Dysarrhythmia are common during any procedure which involves the manipulation of upper gastrointestinal tract, such as endoscopy of the esophagus or stomach. Swallowing syncope represents an extreme form of this phenomenon. We report a patient who had bradycardia and fainting episode during endoscopic examination. High degree atrioventricular block was detected in 24 hr Holter monitoring. (Korean J Gastrointest Endosc 2005;30:145149) |
| Key Words:
Swallowing syncope, Endoscopic examination |
| 주요어:
연하실신, 내시경 |
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