case_images: PMC5676362_01
case_images: Telemetry strip showing sinus pause of 6.2 seconds, with atrial escape (marked P waves) with failed conductions to ventricles, likely representing high vagal tone during deglutition, followed by restoration of sinus rhythm (sinus arrhythmia).
case_images: CRIC2017-2145678.001.jpg
case_images: PMC5676362_01_CRIC2017-2145678.001.jpg
case_images: fig1
case_images: On the second day of admission, she had a syncopal spell with a 6.2 second pause, resulting in an atrial escape with failed conduction to ventricles, followed by restoration of sinus rhythm (sinus arrhythmia) which was noted on telemetry (Figure 1()) while swallowing her pills.
case_images: PMC5676362_02
case_images: Loop recorder strip showing a 5-second pause followed by restoration of sinus rhythm (arrow showing marchable P waves).
case_images: CRIC2017-2145678.002.jpg
case_images: PMC5676362_02_CRIC2017-2145678.002.jpg
case_images: fig2
case_images: Prior to discharge, he had another episode of syncope with a 5-second pause (Figure 2()) noted on the loop recorder while drinking water.