Roemheld syndrome
Roemheld syndrome (RS), or gastrocardiac syndrome, or gastric cardiac syndrome or Roemheld–Techlenburg–Ceconi syndrome or gastric-cardia, was a medical syndrome first coined by Ludwig von Roemheld (1871–1938) describing a cluster of cardiovascular symptoms stimulated by gastrointestinal changes. Although it is currently considered an obsolete medical diagnosis, recent studies have described similar clinical presentations and highlighted potential underlying mechanisms. Symptoms and signs Symptoms can be as follows. They are periodic, and occur only during an "episode", usually after eating. Sinus bradycardia Difficulty inhaling Angina pectoris Left ventricular discomfort Premature heart beats (PVC / PAC) Tachycardia Fatigue Anxiety Uncomfortable breathing Poor perfusion Muscle pain (crampiness) Burst or sustained vertigo or dizziness Sleep disturbance (particularly when sleeping within a few hours of eating, or lying on the left side) Hot flashes Mechanical Mechanically induced Roemheld syndrome is characterized by pressure in the epigastric and left hypochondriac region. Often the pressure is in the fundus of the stomach, esophagus or distention of the bowel. It is believed this leads to elevation of the diaphragm, and secondary displacement of the heart. This reduces the heart's ability to fill and increases the contractility of the heart to maintain homeostasis. Neurological The cranium dysfunction mechanical changes in the