CHARLES SHOOKHOFF, M.D., F.A.C.P.; LOUIS BLUMENFELD, M.D.
This case of functional heart block is being reported because we believe this syndrome, and especially milder manifestations of it, may not be as uncommon as the few cases reported would lead one to believe. Instances of Adams-Stokes syndrome, due to overstimulation of the vagus and without apparent cardiac pathology, have been reported as early as 1875 by Thanhoffer1 and in 1898 by Neuburger and Edinger,2 and others. It was not until 1934, when Weiss and Ferris3 reported their thoroughly studied cases of syncope of reflex vagal origin—which they aptly termed "Vago-Vagal Syndrome"—that the present generation of physicians was reminded
SHOOKHOFF C, BLUMENFELD L. TRANSIENT FUNCTIONAL A-V HEART BLOCK INDUCED BY THE SWALLOWING OF FOOD; CASE REPORT1. Ann Intern Med. ;13:345–351. doi: 10.7326/0003-4819-13-2-345
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Published: Ann Intern Med. 1939;13(2):345-351.
Cardiology, Rhythm Disorders and Devices.
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