吞咽引起的晕厥尚未引起足够的重视。这些病例多数中可以发现食道的疾患,例如憩室,狭窄,痉挛及癌肿。晕厥是由于心脏房室传导阻滞所引起,但也有由窦性心动过缓和窦性停搏引起的。文献曾报导一例病人是由窦房和房室传导阻滞共同引起的。本文报告一例既往有风湿热病史的43岁男性病人,数年来有发作性胸骨后痛,多发生于进食时,有时为自发性。发作时曾多次昏倒,但疼痛常仅伴有眩 Syncope caused by swallowing has not yet attracted enough attention. Most of these cases can be found in esophageal disorders, such as diverticula, stenosis, cramps and cancer. Syncope is caused by atrioventricular block, but also caused by sinus bradycardia and sinus arrest. The literature has reported a case of the patient is caused by the sinoatrial and atrioventricular block. This article reports an example of a 43-year-old male with a history of rheumatic fever, who developed recurrent sternal pain over the years, most often when eating, sometimes spontaneously. Many times fainted when the attack, but often accompanied by pain only dizzy