Deglutition syncope: A manifestation of vagal hyperactivity following carotid endarterectomy

被引：2

作者：

Endean, Eric D. ^{[1
]}

Cavatassi, William ^{[1
]}

Hansler, Joseph ^{[1
]}

Sorial, Ehab ^{[1
]}

机构：

[1] Univ Kentucky, Dept Surg, Coll Med, Vasc Surg Sect, Lexington, KY 40536 USA

来源：

JOURNAL OF VASCULAR SURGERY | 2010年 / 52卷 / 03期

关键词：

D O I：

10.1016/j.jvs.2010.04.012

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A 61-year-old man with left amaurosis fugax and bilateral >80% internal carotid artery stenoscs underwent a left carotid endarterectomy. On the first postoperative day, he developed hypotension, bradyeardia, and chest pain with food ingestion. He was diagnosed as having deglutition syncope and was treated with oral anticholinergics. Similar symptoms occurred when he underwent a right carotid endarterectomy. Deglutition syncope is a neurally mediated situational syncope resulting from Yap's nerve over-activity. This is the first report of deglutition syncope associated with carotid endarterectomy. It is important to recognize and differentiate these symptoms from other causes of postendarterectomy hemodynamic instahilit. (J Vase Surg 2010;52:720-2.)

引用

页码：720 / 722

页数：3