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Swallow syncope (ECG while at rest)

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Initial 12-lead ECG on presentation while the patient was at rest. New bifascicular block compared with previous ECG 7 months earlier, which showed only a right bundle branch block. (Source: Malone K, Modi M, Koripalli S, Amorn A, Stevens CM. Swallow syncope associated with intermittent sinus pause and high-degree atrioventricular block: a case report. Cureus 2022;14[3]:e22915. Creative Commons Attribution License [CC-BY 4.0].)