Silence Is Golden: An Uncommon Case of Vocalization-Triggered Atrial Tachycardia

Abstract Vocalization-related atrial tachyarrhythmias are extremely rare. We describe the case of a young woman in whom speaking was proven to be the trigger of a nearly incessant right atrial tachycardia, poorly controlled with medical therapy and successfully treated with catheter ablation. The id...

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Bibliographic Details
Published in:Canadian journal of cardiology 2014-02, Vol.30 (2), p.247.e3-247.e6
Main Authors: Zucchelli, Giulio, MD, PhD, Coluccia, Giovanni, MD, Di Cori, Andrea, MD, Soldati, Ezio, MD, Bongiorni, Maria Grazia, MD
Format: Article
Language:English
Subjects:
Adult
Cardiovascular
Catheter Ablation - methods
Electrocardiography
Female
Humans
Noise - adverse effects
Speech
Tachycardia, Ectopic Atrial - etiology
Tachycardia, Ectopic Atrial - physiopathology
Tachycardia, Ectopic Atrial - surgery
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Summary:Abstract Vocalization-related atrial tachyarrhythmias are extremely rare. We describe the case of a young woman in whom speaking was proven to be the trigger of a nearly incessant right atrial tachycardia, poorly controlled with medical therapy and successfully treated with catheter ablation. The identification of the trigger was pivotal for mapping and ablation, providing a reliable means to assess the success of the procedure.
ISSN:0828-282X
1916-7075
DOI:10.1016/j.cjca.2013.09.025