Tachyarrhythmias triggered by swallowing and belching

Wilmshurst, Peter

doi:10.1136/hrt.81.3.313

Cited by 36 publications

(44 citation statements)

References 19 publications

(12 reference statements)

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“…In the medical literature there are cases of swallowinginduced arrhythmias but the mechanism of induction in our case seems to be opposite to that [4,5]. In contrast to swallowing-induced bradyarrhythmias, most of the cases of swallowing-induced tachyarrhythmias have not been associated with esophageal or cardiac disorders.…”

Section: Discussioncontrasting

confidence: 73%

High-Resolution Esophageal Manometry with ECG Monitoring for Management of Premature Ventricular Complexes-Associated Dysphagia

et al. 2009

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We report a novel technique for diagnosing a new cause of esophageal dysphagia in a patient without organic heart and esophageal disease. A coincidence between intermittent esophageal dysphagia and cardiac arrhythmia, frequent premature ventricular complexes (PVC) were confirmed by clinical observation, simultaneous ECG monitoring, and motility study. High-resolution esophageal manometry (HRM) revealed abnormal peristaltic waves only during frequent PVC. Abnormal peristaltic waves and PVC disappeared simultaneously and completely within 15 min after intravenous infusion of antiarrhythmic agent (140 mg propafenone). Oral treatment with antiarrhythmic drugs was not tolerated or ineffective. Complete remission of PVC and dysphagia was achieved immediately after radiofrequency catheter ablation of arrhythmogenic focus located in the right ventricular outflow tract. This case demonstrates a new technique for the management of a syndrome called "PVC-associated dysphagia" that can be mediated by cardioesophageal reflex. Interdisciplinary cooperation and simultaneous HRM with ECG monitoring may confirm the diagnosis and guide effective treatment.

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Section: Discussioncontrasting

confidence: 73%

High-Resolution Esophageal Manometry with ECG Monitoring for Management of Premature Ventricular Complexes-Associated Dysphagia

et al. 2009

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“…10 Historically, the initial report of atrial fibrillation triggered by drinking an ice-cold beverage was described in a 55-year-old patient. 11 In this patient, most episodes spontaneously converted to normal sinus rhythm after several hours. However, six episodes required direct current or pharmacologic (flecainide) cardioversion.…”

Section: Discussionmentioning

confidence: 69%

Cold-Induced, Swallow-Related Atrial Fibrillation in an Adolescent

Robinson¹,

Snyder²

2016

JICRM

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“…Other than these direct effects, a neural reflex, mediated by the vagus nerve, exists that allows changes in esophageal function to affect cardiac physiology [22] . Atrial tachycardia can be triggered by swallowing and belching, although the precise neural mechanism remains unclear [23] . Furthermore, bradycardia occurs in most people during balloon inflation within the esophagus and this may be blocked by atropine [24] .…”

Section: Discussionmentioning

confidence: 99%

Prevalence of linked angina and gastroesophageal reflux disease in general practice

Kato¹,

Ishii²,

Akimoto³

et al. 2009

WJG

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AIM:To evaluate the association between gastroesophageal reflux diseases (GERD) and coronary heart diseases. METHODS:One thousand nine hundred and seventy consecutive patients who attended our hospital were enrolled. All of the patients who first attend our hospital were asked to respond to the F-scale questionnaire regardless of their chief complaints. All patients had a careful history taken, and resting echocardiography (ECG) was performed by physicians if the diagnostic necessity arose. Patients with ECG signs of coronary artery ischemia were defined as STsegment depression based on the Minnesota code. RESULTS:Among 712 patients (36%) with GERD, ECG was performed in 171 (24%), and ischemic changes were detected in eight (5%). Four (50%) of these patients with abnormal findings upon ECG had no chest symptoms such as chest pain, chest oppression, or palpitations. These patients (0.6%; 4/712) were thought to have non-GERD heartburn, which may be related to ischemic heart disease. Of 281 patients who underwent ECG and did not have GERD symptoms, 20 (7%) had abnormal findings upon ECG. In patients with GERD symptoms and ECG signs of coronary artery ischemia, the prevalence of linked angina was considered to be 0.4% (8/1970 patients). CONCLUSION:The present study suggested that ischemic heart disease might be found although a patient was referred to the hospital with a complaint of GERD symptoms. Physicians have to be concerned about missing clinically important coronary artery disease while evaluating patients for GERD symptoms.

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Tachyarrhythmias triggered by swallowing and belching

Cited by 36 publications

References 19 publications

High-Resolution Esophageal Manometry with ECG Monitoring for Management of Premature Ventricular Complexes-Associated Dysphagia

High-Resolution Esophageal Manometry with ECG Monitoring for Management of Premature Ventricular Complexes-Associated Dysphagia

Cold-Induced, Swallow-Related Atrial Fibrillation in an Adolescent

Prevalence of linked angina and gastroesophageal reflux disease in general practice

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