Evidence map›Paper›PMID 31391000›Full record

SynthesisBMC cardiovascular disorders2019

Swallow syncope: a case report and review of literature.

Kelvin Shenq Woei Siew, Maw Pin Tan, Ida Normiha Hilmi, Alexander Loch

Open access · goldAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in BMC cardiovascular disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Situational Syncope Triggered by Swallowing.ACG case reports journal · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. DEGLUTITION SYNCOPE - A CASE REPORT.The Ulster medical journal · 2020
    Article
  17. Article
  18. Article
  19. Timing of Circulatory and Neurological Events in Syncope.Frontiers in cardiovascular medicine · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kelvin Shenq Woei SiewDepartment of Medicine/Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia. ksiewsw@gmail.com.ORCID 0000-0001-8252-1923
Maw Pin TanDepartment of Medicine/Geriatric, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Ida Normiha HilmiDepartment of Medicine/Gastroenterology, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
Alexander LochDepartment of Medicine/Cardiology, University Malaya Medical Centre, Kuala Lumpur, Malaysia.
University Malaya Medical Centre · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSwallow or deglutition syncope is an unusual type of neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose with commonly delayed diagnosis and management. There is lack of review articles that elucidate the basic demographics, clinical characteristics and management of this rare condition. This publication systematically reviews the 101 case reports published since 1793 on swallow syncope. CASE PRESENTATION: A 59-year-old man presented with the complaint of recurrent dizziness associated with meals. A 24-h ambulatory ECG recording confirmed an episode of p-wave asystole at the time of food intake. Oesophagogastroduodenoscopy with balloon inflation in the mid to lower oesophagus resulted in a 5.6 s sinus pause. The patient's symptoms resolved completely following insertion of a permanent dual chamber pacemaker.

conclusionsSwallow syncope is extremely rare, but still needs to be considered during diagnostic workup. It is commonly associated with gastro-intestinal disease. Permanent pacemaker implantation is the first line treatment.

Indexed as

DeglutitionEatingBlood PressureCardiac Pacing, ArtificialHeart RateHumansMaleMiddle AgedPacemaker, ArtificialSyncopeTreatment OutcomeAV blockBradycardiaDeglutitionPacemakerSwallowSyncope

Identifiers

PMID31391000
PMCPMC6686266
OpenAlexW2964710722

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.