The synchrony of syncope: Chest pain, panic, and vasovagal convergence in the perfect autonomic storm

Clinical Autonomic Research

Volumn 14, Issue 1, 2004, Pages 44-48

  Cheshire, William P ^a   Achem, Sami R ^a  

^a MAYO CLINIC   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; AUTONOMIC DYSFUNCTION; CASE REPORT; ESOPHAGUS MOTILITY; FEMALE; HUMAN; HYPERVENTILATION; PANIC; RESPIRATORY SYSTEM; RISK FACTOR; SYNCOPE; THORAX PAIN; VAGUS REFLEX;

AUTONOMIC NERVOUS SYSTEM; CHEST PAIN; HUMANS; PANIC DISORDER; SYNCOPE, VASOVAGAL;

EID: 1842504224     PISSN: 09599851     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10286-004-0161-7     Document Type: Article

References (47)

1. Achem SR, Benjamin S (1995) Esophageal dysmotility (spastic dysmotility). In: Castell DO (ed) The Esophagus, Second edition. Boston: Little, Brown, and Co, pp 247-268
2. Achem SR, Kolts BE (1992) Current medical therapy for esophageal motility disorders. Am J Med 92:98S-105S
3. Adler DG, Romero Y (2001) Primary esophageal motility disorders. Mayo Clin Proc 76:195-200
4. Bass C, Wade C (1984) Chest pain with normal coronary arteries: a comparative study of psychiatric and social morbidity. Psychol Med 14:51-61
5. Beitman BD, Basha I, Flaker G, et al. (1987) Atypical or nonanginal chest pain: panic disorder or coronary artery disease? Arch Intern Med 147(9):1548-1552
6. Bortolotti M, Cirignotta F, Labo G (1982) Atrioventricular block induced by swallowing in a patient with diffuse esophageal spasm. JAMA 248:2297-2299
7. Bortolotti M, Sarti P, Brunelli F, Mazza M, Barbara L ( 1995) Abnormal esophagocardiac inhibitory reflex in patients with diffuse esophageal spasm. Digestion 56:488-492
8. Cannon RO III, Quyyumi AA, Schenke WH, et al. (1990) Abnormal cardiac sensitivity in patients with chest pain and normal coronary arteries. J Am Coll Cardiol 16:1359-1366
9. Chambers JB, Bass C (1990) Chest pain with normal coronary anatomy: a review of natural history and possible etiologic factors. Prog Cardiovasc Dis 33:161-184
10. Chauhan A, Mullins PA, Thuraisingham SI, et al. (1994) Abnormal cardiac pain perception in syndrome XJ Am Coll Cardiol 24:329-335
11. Clouse RE, Lustman PJ (1983) Psychiatric illness and contraction abnormalities of the esophagus. N Engl J Med 309:1337-1342
12. Cunningham ET Jr, Ravich WJ, Jones B, Donner MW (1992) Vagal reflexes referred from the upper aerodigestive tract: an infrequently recognized cause of common cardiorespiratory responses. Ann Intern Med 116:575-582
13. Deguchi K, Mathias CJ (1999) Continuous haemodynamic monitoring in an unusual case of swallow induced syncope. J Neurol Neurosurg Psychiatry 67:220-222
14. De Murua JAO, del Campo F, Ávila MC, Villafranca JL, Diego JM (1992) Síncope deglutorio en paciente portador de un espasmo esofágico difuso. Rev Esp Cardiol 45:543-544
15. Diehl RR, Linden D, Chalkiadaki A, Ringelstein EB, Berlit P (1996) Transcranial Doppler during neurocardiogenic syncope. Clin Auton Res 6:71-74
16. Fenton AM, Hammill SC, Rea RF, Low PA, Shen W-K (2000) Vasovagal syncope. Ann Intern Med 133:714-725
17. Fletcher MA (2000) US experts recall the meteorology of 'the perfect storm.' Washington Post, Friday, June 30:A02
18. Freeman R, Rutkove S (2000) Syncope. In: Appenzeller O (ed) The Autonomic Nervous System. Handbook of Clinical Neurology, Vinken PJ, Bruyn GW (eds) Amsterdam: Elsevier, Vol 75, Chapter 7, pp 203-228
19. Gardner WN (1996) The pathophysiology of hyperventilation disorders. Chest 109:516-534
20. Kapoor WN (1992) Evaluation and management of the patient with syncope. JAMA 268:2553-2560
21. Hazen S, Steinberg A, Morris N, et al. (1997) Long-term reproducibility of intraesophageal balloon distension studies in patients with unexplained chest pain. Gastroenterology 112(Suppl):A145
22. Herrington JP, Burns TW, Balart LA (1984) Chest pain and dysphagia in patients with prolonged peristaltic contractile duration of the esophagus. Dig Dis Sci 29:134-140
23. Ishiyama G, Ishiyama A, Jacobson K, Baloh RW (2001) Drop attacks in older patients secondary to an otologic cause. Neurology 57:1103-1106
24. Kakuchi H, Sato N, Kawamura Y (2000) Swallow syncope associated with complete atrioventricular block and vasovagal syncope. Heart 83:702-704
25. Katz PO, Dalton CB, Richter JE, et al. (1987) Esophageal testing of patients with noncardiac chest pain or dysphagia. Results of three years' experience with 1161 patients. Ann Intern Med 106:593-597
26. Koski CL, Khurana R, Mayer RF (1986) Guillain-Barré syndrome. Am Fam Physician 34:198-210
27. Krystal JH, Deutsch DN, Charney DS (1996) The biological basis of panic disorder. J Clin Psychiatry 57(Suppl 10):23-31
28. Lagerqvist B, Sylven C, Waldenstrom A (1992) Lower threshold for adenosine-induced chest pain in patients with angina and normal coronary angiograms. Br Heart J 68:282-285
29. Lagi A, Cencetti S, Corsoni V, Georgiadis D, Bacalli S (2001) Cerebral vasoconstriction in vasovagal syncope: any link with symptoms? A transcranial Doppler study. Circulation 104:2694-2698
30. Lasch H, DeVault KR, Castell DO (1994) Intraesophageal balloon distention in the evaluation of sensory thresholds: studies on reproducibility and comparison of balloon composition. Am J Gastroenterol 89:1185-1190
31. Leite LP, Johnston BT, Barrett J, et al. (1997) Ineffective esophageal motility (IEM): the primary finding in patients with nonspecific esophageal motility disorder. Dig Dis Sci 42:1859-1865
32. Levin B, Posner JB (1972) Swallow syncope: report of a case and review of the literature. Neurology 22:1086-1093
33. Linzer M, Varia I, Pontinen M, Divine GW, Grubb BP, Estes NA III (1992) Medically unexplained syncope: relationship to psychiatric illness. Am J Med 92:18S-25S
34. Manolis AS, Linzer M, Salem D, Estes NAM III (1990) Syncope: current diagnostic evaluation and management. Ann Int Med 112:850-863
35. Mathias CJ, Deguchi K, Schatz I (2001) Observations on recurrent syncope and presyncope in 641 patients. Lancet 357:348-353
36. Nguyen P, Castell DO (1993) Evidence for sex differences in esophageal pain threshold. Gastroenterology 104:158A
37. Pfeiffer G (1999) Dysautonomie bei Guillain-Barré syndrom. Der Nervenarzt 70:136-148
38. Richter JE, Barish CF, Castell DO (1986) Abnormal sensory perception in patients with esophageal chest pain. Gastroenterology 91:845-852
39. Richter JE, Obrecht WF, Bradley LA, et al. (1986) Psychological comparison of patients with nutcracker esophagus and irritable bowel syndrome. Dig Dis Sci 31:131-138
40. Rosen SD, Uren NG, Kaski JC, et al. (1994) Coronary vasodilator reserve, pain perception, and sex in patients with syndrome X. Circulation 90:50-60
41. Roy-Byrne P, Cowley DS, Stein MB, Wingerson D, Veith R (1997) Cardiovascular and catecholamine response to orthostasis in panic and obsessive-compulsive disorder and normal controls: effects of anxiety and novelty. Depression and Anxiety 6:159-164
42. Schondorf R, Benoit J, Wein T (1997) Cerebrovascular and cardiovascular measurements during neurally mediated syncope induced by heat-up tilt. Stroke 28:1564-1568
43. Shapiro LM, Crake T, Poole-Wilson PA (1988) Is altered cardiac sensation responsible for chest pain in patients with normal coronary arteries? Clinical observation during cardiac catheterisation. Br Med J (Clin Res Ed) 296:170-171
44. Stein MB, Asmundson GJG (1994) Autonomic function in panic disorder: cardiorespiratory and plasma catecholamine responsivity to multiple challenges of the autonomic nervous system. Biol Psychiatry 36:548-558
45. Valori RM (1990) Nutcracker, neurosis, or sampling bias? Gut 31:736-737
46. Wheatley CE (1975) Hyperventilation syndrome: a frequent cause of chest pain. Chest 68:195-199
47. Wilkinson DJC, Thompson JM, Lamberg GW, Jennings GL, Schwarz RG, Jefferys D, Turner AG, Esler MD (1998) Sympathetic activity in patients with panic disorder at rest, under laboratory mental stress, and during panic attacks. Arch Gen Psychiatry 55:511-520