case_images: PMC3716027_01
case_images: Cardiac monitoring following ingestion of 500 ml of a cold carbonated beverage. The patient had marked sinus bradycardia of 30 beats per minutes after the one sip. Following the bradycardia was a 3.5-second sinus pause with second-degree Mobitz Type 1 AV block. He complained of near syncope during the event.
case_images: JCHIMP-3-20323-g001.jpg
case_images: PMC3716027_01_JCHIMP-3-20323-g001.jpg
case_images: F0001
case_images: Subsequently, he has had no more syncopal episodes, although he continues to have the sensation of near syncope (nausea and lightheadedness) upon swallowing (Fig. 1).