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Age Ageing. 2006 Jul;35(4):446-7.

Atishoo! Atishoo! we all fall down!

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  • 1Department of Geriatric Medicine, Bantry General Hospital, Bantry, Co. Cork, Ireland.


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 beta-blocker eyedrops. This case suggests a previously unrecognised pathophysiology in sneeze syncope and illustrates the potential problems associated with the systemic absorption of beta-blocker eyedrops as well as the ingenuity of older patients when participating in the investigation of their own illnesses.

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