Swallowing-induced atrial tachycardia

An 87-year-old woman presented at the emergency department with sudden and recurring episodes of lightheadedness that occurred while she was eating and drinking. The patient did not feel any chest pain or heart palpitation, and she had not experienced fainting, gastrointestinal distress, difficulty...

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Bibliographic Details
Published inCanadian Medical Association journal (CMAJ) Vol. 190; no. 16; pp. E507 - E509
Main Authors Mathew, Rebecca, MD, Green, Martin S., MD, Nery, Pablo B., MD
Format Journal Article
LanguageEnglish
Published Canada Joule Inc 23.04.2018
CMA Impact, Inc
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Summary:An 87-year-old woman presented at the emergency department with sudden and recurring episodes of lightheadedness that occurred while she was eating and drinking. The patient did not feel any chest pain or heart palpitation, and she had not experienced fainting, gastrointestinal distress, difficulty with or painful swallowing, nausea or heartburn. She had a history of rheumatic fever and bacterial endocarditis, which had been treated with a prolonged course of antibiotics given intravenously when she was an adolescent. On initial assessment, the patient was hemodynamically stable, with no substantial orthostatic change. The results of cardiac, respiratory and gastrointestinal examinations were normal. A gross neurologic screen was unremarkable. Laboratory investigations, including cell count and differential, serum chemistry, extended electrolytes, liver panel, coagulation profile and cardiac biomarkers, as well as chest radiography, were normal. Here, Mathew et al studying treatment on swallowing-induced atrial tachycardia of an 87-year-old woman.
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ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.171261