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Deglutition-Induced Atrial Tachycardia
Nesrine Farah1, Catalina Trana1
1Cardiology, Hôpital Riviera Chablais, Rennaz, CHE.
Cureus
|November 8, 2021
Summary
Swallowing-induced atrial tachycardia is rare, typically affecting men. Lifestyle changes, like smaller meals, effectively reduced symptoms in a patient intolerant to standard medications, avoiding invasive procedures.
Area of Science:
- Cardiology
- Gastroenterology
Background:
- Tachycardias during deglutition (swallowing) are exceptionally rare, with fewer than 50 reported cases globally.
- These events typically affect men without underlying heart or gastrointestinal disease, presenting with symptoms like palpitations or syncope.
Observation:
- A 51-year-old male experienced swallowing-induced palpitations due to brief atrial tachycardia episodes.
- Standard treatments (beta-blockers, calcium channel blockers) were discontinued due to intolerance.
Findings:
- Fractionated meals and smaller boluses significantly alleviated the patient's symptoms.
- The patient opted against radiofrequency catheter ablation, a potentially curative but invasive option.
Implications:
- This case highlights the efficacy of conservative, lifestyle-based management for swallowing-induced atrial tachycardia in medication-intolerant patients.
- It suggests that dietary modifications can be a viable alternative to pharmacotherapy or ablation for this rare condition.
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