Deglutition-Induced Atrial Tachycardia

While bradyarrhythmia is the most common arrhythmia during deglutition, tachycardias are considered to be a very rare condition with approximately 50 cases documented worldwide. The subjects are usually men with no structural heart disease or gastrointestinal pathology, and symptoms may vary from pa...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 13; no. 10; p. e18448
Main Authors Farah, Nesrine, Trana, Catalina
Format Journal Article
LanguageEnglish
Published Palo Alto Springer Nature B.V 02.10.2021
Cureus
Subjects
Ablation
Beta blockers
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Case reports
Catheters
Esophagus
Food
Gastroenterology
Heart
Lifestyles
Sinuses
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Summary:While bradyarrhythmia is the most common arrhythmia during deglutition, tachycardias are considered to be a very rare condition with approximately 50 cases documented worldwide. The subjects are usually men with no structural heart disease or gastrointestinal pathology, and symptoms may vary from palpitations to lightheadedness or syncope.Management is based on adapting alimentary habits in combination with agents such as beta-blockers, calcium channel blockers, and class IA, IC, and III drugs. Radiofrequency catheter ablation offers a permanent cure in the majority of the reported cases.We report the case of a 51-year-old male with swallowing-induced palpitations, corresponding to brief episodes of atrial tachycardia. Beta-blockers and calcium channel blockers were interrupted because of intolerance. Lifestyle measures with fractionated meals allowing small boluses significantly reduced symptoms. The patient was reticent to invasive measures.
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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.18448