{"title":"Una causa rara de síncope","authors":"Ramón Maseda Uriza, Jesús Piqueras Flores, Pedro Pérez Díaz, Álvaro Moreno Reig","doi":"10.1016/j.carcor.2016.09.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To describe a rare cause of syncope whose mechanism is the compression of the left atrium caused by large hiatal hernia.</p></div><div><h3>Material and method</h3><p>Description of three patients visiting our hospital for repeat episodes of syncope in relation to food intake.</p></div><div><h3>Conclusions</h3><p>Food intake in patients with large hiatal hernia can cause syncope caused by compression of the left atrium whose diagnosis may be delayed to be classified as «situational» or swallowing. Transthoracic echocardiography and chest computed tomography were essential for correct diagnosis. Symptoms disappear with the surgical treatment of hiatal hernia or or alleviated by decreasing the volume of intake.</p></div>","PeriodicalId":100216,"journal":{"name":"Cardiocore","volume":"53 2","pages":"Pages 82-84"},"PeriodicalIF":0.0000,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carcor.2016.09.004","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cardiocore","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1889898X16300706","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
To describe a rare cause of syncope whose mechanism is the compression of the left atrium caused by large hiatal hernia.
Material and method
Description of three patients visiting our hospital for repeat episodes of syncope in relation to food intake.
Conclusions
Food intake in patients with large hiatal hernia can cause syncope caused by compression of the left atrium whose diagnosis may be delayed to be classified as «situational» or swallowing. Transthoracic echocardiography and chest computed tomography were essential for correct diagnosis. Symptoms disappear with the surgical treatment of hiatal hernia or or alleviated by decreasing the volume of intake.
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