Swallow-induced syncope: A case report of atrial tachycardia originating from the SVC

Hu, Tiffany; Kapa, Suraj; Mei, Yong; Asirvatham, Samuel J.; Madhavan, Malini

doi:10.1016/j.hrcr.2015.11.004

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Since the advancement in ablation techniques, radiofrequency ablation of target atrial sites has been attempted with excellent results 3 . This usually requires awake electrophysiologic study with multiple catheters to map the site of the atrial tachycardia while patient performs the same deglutition maneuvers that cause his symptoms 6 . In rare cases, mechanical esophageal repositioning might be required 7 .…”

Section: Discussionmentioning

confidence: 99%

“…3 This usually requires awake electrophysiologic study with multiple catheters to map the site of the atrial tachycardia while patient performs the same deglutition maneuvers that cause his symptoms. 6 In rare cases, mechanical esophageal repositioning might be required. 7 Given rarity of this disease entity, no randomized data is available to guide management.…”

Section: Case Presentationmentioning

confidence: 99%

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Swallowing‐induced atrial tachycardia: A rare demonstration on fluoroscopic esophagram

Kewcharoen

Basharat

Bhardwaj

et al. 2023

Cardiovasc electrophysiol

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BackgroundSwallowing‐associated arrhythmias are rare and most commonly present as atrial tachycardias.MethodsWe present a case of a 45‐year‐old female who experienced frequent episodes of palpitations and dyspnea occurring immediately after swallowing solid food. She was noted to have atrial tachycardia with deglutition that was recorded on the 12‐lead electrocardiogram. She underwent fluoroscopic esophagram that demonstrated atrial tachycardia as the barium passed through the distal esophagus and gastroesophageal junction.ConclusionSwallowing induced arrhythmias occur rarely and can be confirmed by EKG obtained during deglutition. Gastroesophageal evaluation is required to rule out primary esophageal disorders. Treatment of such arrhythmias is required if symptoms are intractable and can include pharmacotherapy and radiofrequency ablation.

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Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

Swallowing‐induced atrial tachycardia: A rare demonstration on fluoroscopic esophagram

Kewcharoen

Basharat

Bhardwaj

et al. 2023

Cardiovasc electrophysiol

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“…It is sometimes referred to as the Great Artery GP in accordance with its associations [ 39 ]. The Aorto-caval or Superior Vena Caval-Aortic ganglion (SVC-Ao) is found along the posteromedial wall of the superior vena cava, the anterolateral wall of the ascending aorta and superior to the right pulmonary artery [ 70 ]. It is also referred to as the Superior Right (SR) GP.…”

Section: Ganglionated Pleximentioning

confidence: 99%

Ganglionated Plexi Ablation for the Treatment of Atrial Fibrillation

Avazzadeh

McBride

O’Brien³

et al. 2020

JCM

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Atrial fibrillation (AF) is the most common type of cardiac arrhythmia and is associated with significant morbidity and mortality. The autonomic nervous system (ANS) plays an important role in the initiation and development of AF, causing alterations in atrial structure and electrophysiological defects. The intrinsic ANS of the heart consists of multiple ganglionated plexi (GP), commonly nestled in epicardial fat pads. These GPs contain both parasympathetic and sympathetic afferent and efferent neuronal circuits that control the electrophysiological properties of the myocardium. Pulmonary vein isolation and other cardiac catheter ablation targets including GP ablation can disrupt the fibers connecting GPs or directly damage the GPs, mediating the benefits of the ablation procedure. Ablation of GPs has been evaluated over the past decade as an adjunctive procedure for the treatment of patients suffering from AF. The success rate of GP ablation is strongly associated with specific ablation sites, surgical techniques, localization techniques, method of access and the incorporation of additional interventions. In this review, we present the current data on the clinical utility of GP ablation and its significance in AF elimination and the restoration of normal sinus rhythm in humans.

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“…The most common activities are chewing, swallowing, coughing, talking, and yawing 3 . Rarely patients can present with arrhythmias and syncope 4 . In this review, we describe the anatomy, clinical features, diagnostic work, and non-surgical therapies for the management of GN.…”

Section: Introductionmentioning

confidence: 99%

Glossopharyngeal Neuralgia: An Approach to Diagnosis and Management

Goel

2020

AHM Journal

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Glossopharyngeal neuralgia is an uncommon facial syndrome with significant deleterious effect on the quality of life. The glossopharyngeal nerve is predominantly a sensory nerve with a limited number of motor and autonomic fibers. The central causes of glossopharyngeal neuralgia are commonly treated with neurosurgical interventions. Medical therapy and nerve blocks are predominantly used to treat peripheral causes of glossopharyngeal neuralgia. In this review article, we present clinical vignettes and describe practical aspects of intra-oral, extra-oral, and peripheral techniques to block the glossopharyngeal nerve. The glossopharyngeal nerve blocks should be performed in a monitored setting due to the potential for adverse complications.

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Swallow-induced syncope: A case report of atrial tachycardia originating from the SVC

Cited by 5 publications

References 4 publications

Swallowing‐induced atrial tachycardia: A rare demonstration on fluoroscopic esophagram

Swallowing‐induced atrial tachycardia: A rare demonstration on fluoroscopic esophagram

Ganglionated Plexi Ablation for the Treatment of Atrial Fibrillation

Glossopharyngeal Neuralgia: An Approach to Diagnosis and Management

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