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Swallowing-induced supraventricular arrhythmia: A different perspective to mechanism


1 Department of Cardiology, Ankara Education and Research Hospital, Ankara, Turkey
2 Department of Cardiology, Faculty of Medicine, Istinye University, Liv Hospital, Istanbul, Turkey

Correspondence Address:
E Yetkin,
Department of Cardiology, Faculty of Medicine, Istinye University, Liv Hospital, Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jpgm.JPGM_21_20

PMID: 33380591

Atypical presentations of supraventricular arrhythmias constitute a diagnostic challenge which are not frequently reported in literature. Swallowing-induced supraventricular arrhythmia (SI-SVA), which was first described in 1926, is an intriguing presentation of supraventricular tachycardia and occurs during a wet or solid swallow. A 67-year-old man presented to our outpatient clinic complaining from recurrent episodes of sensation of palpitations and short duration pressure on his chest while swallowing since the last 2 weeks. Ambulatory rhythm Holter monitoring was suggestive of atrial fibrillation (AF) or atrial tachycardia attacks during swallowing. In addition, electrocardiography performed during solid food swallowing, showed short duration of AF consistent with the patient's symptoms. The patient was successfully treated with amiodarone. The main cause of SI-SVA is not known. Cross-talk of nerves during the impulse propagation might be the underlying cause of this phenomenon.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow