Radiofrequency ablation of swallowing-induced atrial tachycardia: Case report and review of literature

Manish Undavia; Sunil Sinha; Davendra Mehta

doi:10.1016/j.hrthm.2006.04.010

Radiofrequency ablation of swallowing-induced atrial tachycardia: Case report and review of literature

Manish Undavia, Sunil Sinha, Davendra Mehta

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

We report the case of a 47-year-old white man who presented with 1-year history of palpitations while swallowing. Event monitor confirmed the episodes were atrial tachycardia. Medical management with a calcium channel blocker did not alleviate the patient's symptoms. Gastrointestinal endoscopy did not reveal any abnormality. Electrophysiologic study was performed to identify and map the tachycardia. Swallowing during the procedure was used to repeatedly induce the tachycardia. A focal right atrial tachycardia that was mapped to the lower posterior right atrium was successfully ablated. Follow-up at 6 months and 1 year showed complete resolution of symptoms. An in-depth review of the literature and all published case reports of swallowing-induced atrial tachycardia is presented, and possible mechanisms of this rare form of tachycardia are discussed.

Original language	English (US)
Pages (from-to)	971-974
Number of pages	4
Journal	Heart Rhythm
Volume	3
Issue number	8
DOIs	https://doi.org/10.1016/j.hrthm.2006.04.010
State	Published - Aug 1 2006
Externally published	Yes

Keywords

Radiofrequency ablation
Swallowing-induced atrial tachycardia

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.hrthm.2006.04.010

Cite this

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abstract = "We report the case of a 47-year-old white man who presented with 1-year history of palpitations while swallowing. Event monitor confirmed the episodes were atrial tachycardia. Medical management with a calcium channel blocker did not alleviate the patient's symptoms. Gastrointestinal endoscopy did not reveal any abnormality. Electrophysiologic study was performed to identify and map the tachycardia. Swallowing during the procedure was used to repeatedly induce the tachycardia. A focal right atrial tachycardia that was mapped to the lower posterior right atrium was successfully ablated. Follow-up at 6 months and 1 year showed complete resolution of symptoms. An in-depth review of the literature and all published case reports of swallowing-induced atrial tachycardia is presented, and possible mechanisms of this rare form of tachycardia are discussed.",

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AB - We report the case of a 47-year-old white man who presented with 1-year history of palpitations while swallowing. Event monitor confirmed the episodes were atrial tachycardia. Medical management with a calcium channel blocker did not alleviate the patient's symptoms. Gastrointestinal endoscopy did not reveal any abnormality. Electrophysiologic study was performed to identify and map the tachycardia. Swallowing during the procedure was used to repeatedly induce the tachycardia. A focal right atrial tachycardia that was mapped to the lower posterior right atrium was successfully ablated. Follow-up at 6 months and 1 year showed complete resolution of symptoms. An in-depth review of the literature and all published case reports of swallowing-induced atrial tachycardia is presented, and possible mechanisms of this rare form of tachycardia are discussed.

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Radiofrequency ablation of swallowing-induced atrial tachycardia: Case report and review of literature

Abstract

Keywords

ASJC Scopus subject areas

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