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Deglutition Induced Atrial Tachycardia and Atrial Fibrillation
Author(s) -
KANJWAL YOUSUF,
IMRAN NASER,
GRUBB BLAIR
Publication year - 2007
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2007.00911.x
Subject(s) - medicine , atrial fibrillation , propafenone , palpitations , cardiology , tachycardia , swallowing , supraventricular tachycardia , amiodarone , catheter ablation , atrial tachycardia , anesthesia , accessory pathway , surgery
Deglutition induced supraventricular tachycardia is an uncommon condition postulated to be a vagally mediated phenomenon due to mechanical stimulation. Patients usually present with mild symptoms or may have severe debilitating symptoms.Treatment with Class I agents, beta blockers, calcium channel blockers, amiodarone and radiofrquency catheter ablation has shown to be successful in the majority of reported cases.We report the case of a 46‐year‐old healthy woman presenting with palpitations on swallowing that was documented to be transient atrial tachycardia with aberrant ventricular conduction as well as transient atrial fibrillation. She was successfully treated with propafenone with no induction of swallowing‐induced tachycardia after treatment. This is also the first case to show swallowing‐induced atrial tachycardia and atrial fibrillation in the same patient.