Swallowing-induced atrial tachycardia

An 87-year-old woman presented at the emergency department with sudden and recurring episodes of lightheadedness that occurred while she was eating and drinking. The patient did not feel any chest pain or heart palpitation, and she had not experienced fainting, gastrointestinal distress, difficulty...

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Bibliographic Details
Published in:Canadian Medical Association journal (CMAJ) 2018-04, Vol.190 (16), p.E507-E509
Main Authors: Mathew, Rebecca, MD, Green, Martin S., MD, Nery, Pablo B., MD
Format: Article
Language:English
Subjects:
Aged, 80 and over
Antibiotics
Biomarkers
Cardiac arrhythmia
Cardiology
Cardiovascular disease
Care and treatment
Case studies
Catheters
Deglutition
Deglutition - physiology
Development and progression
Electrocardiography
Electrolytes
Esophagus
Female
Food
Health aspects
Heart
Humans
Internal Medicine
Laboratories
Medical diagnosis
Older people
Patients
Physical examinations
Practice
Swallowing
Tachycardia
Tachycardia - etiology
Teenagers
Therapy
Ultrasonic imaging
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Description
Summary:An 87-year-old woman presented at the emergency department with sudden and recurring episodes of lightheadedness that occurred while she was eating and drinking. The patient did not feel any chest pain or heart palpitation, and she had not experienced fainting, gastrointestinal distress, difficulty with or painful swallowing, nausea or heartburn. She had a history of rheumatic fever and bacterial endocarditis, which had been treated with a prolonged course of antibiotics given intravenously when she was an adolescent. On initial assessment, the patient was hemodynamically stable, with no substantial orthostatic change. The results of cardiac, respiratory and gastrointestinal examinations were normal. A gross neurologic screen was unremarkable. Laboratory investigations, including cell count and differential, serum chemistry, extended electrolytes, liver panel, coagulation profile and cardiac biomarkers, as well as chest radiography, were normal. Here, Mathew et al studying treatment on swallowing-induced atrial tachycardia of an 87-year-old woman.
ISSN:0820-3946
1488-2329
DOI:10.1503/cmaj.171261