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Age and Ageing 2006 35(4):446-447; doi:10.1093/ageing/afl031
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© The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Atishoo! Atishoo! We all fall down!

Brian J. Carey

Department of Geriatric Medicine, Bantry General Hospital, Bantry, Co. Cork, Ireland

Address correspondence to: B. J. Carey. Tel: (+353) 27 50133, Fax: (+353) 27 52435. Email: brian.carey{at}mailp.hse.ie

Abstract

We report the unusual case of an elderly lady with glaucoma and sneeze syncope because of transient complete atrioventricular block, who had resolution of syncopal and pre-syncopal symptoms following removal of her ß-blocker eyedrops. This case suggests a previously unrecognised pathophysiology in sneeze syncope and illustrates the potential problems associated with the systemic absorption of ß-blocker eyedrops as well as the ingenuity of older patients when participating in the investigation of their own illnesses.

Keywords: sneeze, syncope, glaucoma, ß-blocker, elderly


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