Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity

Higuchi, Koji; Hirao, Kazuyuki; Isobe, Mitsuaki

doi:10.1016/j.hrcr.2016.03.003

Cited by 8 publications

(11 citation statements)

References 11 publications

(14 reference statements)

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“…Direct mechanical interaction between the distended esophagus and the adjacent left atrium was suggested as one possible mechanism of SIAT (Lindsay, 1973 ). Others have suggested that a vagal nerve‐mediated neural reflex may play a role in initiating SIAT (Higuchi et al, 2016 ). Swallowing can stimulate the efferent cardiac branches of the vagal nerve via the solitary nucleus in the medulla oblongata from the afferent vagal nerve through the increased sensitivity of mechanoreceptors in the esophagus.…”

Section: Discussionmentioning

confidence: 99%

Cardiac vagus nerve denervation by pulmonary vein isolation was effective for swallowing‐induced atrial tachycardia

Yamaguchi

Sakamoto

Nakatani

et al. 2021

Noninvasive Electrocardiol

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Swallowing‐induced atrial tachycardia (SIAT) is a relatively rare arrhythmia. A 56‐year‐old woman was admitted to treat atrial tachycardia that occurs by not only eating and drinking but also yawning. Both the right and left upper pulmonary veins were suspected as the earliest activation site of the tachycardia and the abnormal activation of ectopies themselves were suppressed after pulmonary vein isolation (PVI). In a 24‐hour Holter electrocardiogram, the HF component of the analysis of heart rate variability was suppressed both at 1 day and at 2 years after ablation. In this case, cardiac vagal nerve denervation by PVI was effective for SIAT.

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Section: Discussionmentioning

confidence: 99%

Cardiac vagus nerve denervation by pulmonary vein isolation was effective for swallowing‐induced atrial tachycardia

Yamaguchi

Sakamoto

Nakatani

et al. 2021

Noninvasive Electrocardiol

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“…We appreciate Drs Antolic and Zizek for giving us great comments regarding our case of swallowing-induced atrial tachycardia 1 . With great interest, we read the case shown in the letter 2 .…”

mentioning

confidence: 90%

“…We appreciate Drs Antolic and Zizek for giving us great comments regarding our case of swallowing-induced atrial tachycardia. 1 With great interest, we read the case shown in the letter. 2 Because this arrhythmia was known to relate to autonomic nerve activity and there were case reports in which beta blockers or class Ia antiarrhythmic drugs with vagolytic properties were effective, 3 we tried bisoprolol, carvedilol, and disopyramide for this patient.…”

mentioning

confidence: 99%

Reply to the Editor – Regarding swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity

Higuchi

Hirao

Isobe

2016

HeartRhythm Case Reports

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“…Since the first case report was published in 1926 about this topic, approximately 50 cases have been published since that time. [ 2 3 ] Despite several proposed mechanisms such as direct mechanical stimulation of the left atrium, parasympathetic system activation, or presence of an adrenergic reflex originating from esophagus, the true mechanism of SI-SVA remains unknown. [ 4 ] Herein, we describe a case of a patient presenting with SI-SVA, which started 2 weeks ago and successfully treated with antiarrhythmic treatment.…”

Section: Introductionmentioning

confidence: 99%

Swallowing-induced supraventricular arrhythmia

Öztürk¹,

Yetkın

2021

Journal of Postgraduate Medicine

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Atypical presentations of supraventricular arrhythmias constitute a diagnostic challenge which are not frequently reported in literature. Swallowing-induced supraventricular arrhythmia (SI-SVA), which was first described in 1926, is an intriguing presentation of supraventricular tachycardia and occurs during a wet or solid swallow. A 67-year-old man presented to our outpatient clinic complaining from recurrent episodes of sensation of palpitations and short duration pressure on his chest while swallowing since the last 2 weeks. Ambulatory rhythm Holter monitoring was suggestive of atrial fibrillation (AF) or atrial tachycardia attacks during swallowing. In addition, electrocardiography performed during solid food swallowing, showed short duration of AF consistent with the patient's symptoms. The patient was successfully treated with amiodarone. The main cause of SI-SVA is not known. Cross-talk of nerves during the impulse propagation might be the underlying cause of this phenomenon.

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Swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity

Cited by 8 publications

References 11 publications

Cardiac vagus nerve denervation by pulmonary vein isolation was effective for swallowing‐induced atrial tachycardia

Cardiac vagus nerve denervation by pulmonary vein isolation was effective for swallowing‐induced atrial tachycardia

Reply to the Editor – Regarding swallowing-induced atrial tachycardia arising from superior vena cava: Significant involvement of parasympathetic nerve activity

Swallowing-induced supraventricular arrhythmia

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