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

Research output: Contribution to journalArticle

10 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)273-277
Number of pages5
Issue number4
StatePublished - Oct 1 2005



  • Deglutition
  • Deglutition disorders
  • Hypertensive esophageal peristalsis
  • Nutcracker esophagus
  • Schatzki ring
  • Swallow syncope

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

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