Oesophageal syncope

Introduction: The syncope is a frequent problem for Emergency Room,in part of cases it is difficult to find the exact mechanism. Gastrointestinal (GI) disoprders – like achalasia, hiatus hernia (HH) or some dysphagias – lead to inappropriate activation of the parasympathic autonom nervous systhem results in periferial vascular dilatation or bradycardia (The other mechanism is the compression of the cardiac structure and leads to haemodinamical instability). Aim: To present a clinical case that provides example for a rare but potentially treatable condition which can cause syncope Patient/Case: There were emmol.c…