Roemheld syndrome

Although it is currently considered an obsolete medical diagnosis, recent studies have described similar clinical presentations and highlighted potential underlying mechanisms.

This is complemented by gastro-coronary reflexes[12] whereby the coronary arteries constrict with "functional cardiovascular symptoms" similar to chest-pain on the left side and radiation to the left shoulder, dyspnea, sweating, up to angina pectoris-like attacks with extrasystoles, drop of blood pressure, and tachycardia (high heart rate) or sinus bradycardia (heart rate below 60 bpm).

If the heart rate drops too low for too long, catecholamines are released to counteract any lowering of blood pressure.

After an EKG, Holter monitor, tilt table test, cardiac MRI, cardiac CT, heart catheterization, electrophysiology study, echocardiogram, and extensive blood work, and possibly a sleep study, a cardiologist may rule out a heart condition.

[citation needed] Ludwig Roemheld characterized this particular syndrome shortly before his death; one of his research topics around this time was the effects of calorie intake on the heart.

In Elsevier publications, there is no current research or publishing under the name Roemheld syndrome, and as a result, many cases go undiagnosed.