An extremely rare presentation of supraventricular tachycardia: Burping

Yetkın, Ertan

doi:10.1016/j.ijcard.2015.02.090

Cited by 11 publications

(7 citation statements)

References 16 publications

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“…[ 6 ] Similarly, our patient had reflux esophagitis and was stable with esomeprazole treatment. Besides, we had previously published an interesting case of a SVT patient presenting with gastroesophageal reflux symptoms,[ 7 ] which encouraged us to suggest that the relationship between gastrointestinal system and SVAs and the pathophysiological mechanism is more complicated and interesting than thought. Considering the fact that our patient had a history of CABG surgery, it is also reasonable to suggest that handling of nerves during surgery, specifically cardiac thoracic ganglia, might have facilitated the development of AF in this patient; however, further explanation is needed to clarify its relevance with swallowing.…”

Section: Discussionmentioning

confidence: 99%

Swallowing-induced supraventricular arrhythmia

Öztürk¹,

Yetkın

2021

Journal of Postgraduate Medicine

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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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Section: Discussionmentioning

confidence: 99%

Swallowing-induced supraventricular arrhythmia

Öztürk¹,

Yetkın

2021

Journal of Postgraduate Medicine

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“…The possible mechanisms of arrhythmia causing cough speculated by the authors in these patients are anatomical close relationship of phrenic nerve and atrium causing supraventricular arrhythmia and increased pulmonary artery blood flow causing ventricular arrhythmia. Besides, we have reported some SVT patients presenting with extraordinary symptoms such as absence seizure like,[3] burping,[12] and tinnitus [13] in whom we have speculated the plausible mechanism to be the cross-talk during the spreading of impulse through the nervous system. [14] The conclusion can be drawn from this case report is that supraventricular arrhythmia should also be considered in the differential diagnosis of nonresponsive or resistant asthma attacks.…”

Section: Discussionmentioning

confidence: 99%

Asthma-like attacks terminated by slow pathway ablation

2017

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Asthma is a chronic airway disease in which the pathological mechanisms are reversible airway obstruction, bronchial hyper reactivity, and constriction of the lower airways. Supraventricular tachycardia (SVT) is a common arrhythmia which originates above the bundle of His and causing heart rates exceeding 150 beats/min. SVT patients present with palpitation, chest pain, chest discomfort, dyspnea, hyperventilation, and lightheadedness, occasionally. Besides, extraordinary presentations of SVT are available in literature. In this report, we describe a case of a patient presenting with treatment-resistant asthma-like attacks lasting for 20 years whom was suspected SVT as an underlying etiology and treated by slow pathway radiofrequency ablation.

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“…Extraordinary symptoms such as burping, tinnitus, and absence of seizure-like attacks have been documented during supraventricular tachycardia [9–11]. The possible underlying mechanism of extraordinary symptoms during supraventricular tachycardia has been supposed to be cross-talk between the cardiac afferent fibers and cranial nerves or ganglia through the impulse propagation [12].…”

Section: Discussionmentioning

confidence: 99%

Premature Ventricular Complex Causing Ice-Pick Headache

Öztürk¹,

Yetkın

2017

Case Reports in Cardiology

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Ice pick headache is a momentary, transient, repetitive headache disorder and manifests with the stabbing pains and jolts. The exact mechanism causing this disease is unknown. Premature ventricular contractions are early depolarization of the ventricular myocardium and in the absence of a structural heart disease, it is considered to be a benign disease. In this report, we describe a male patient presenting with the symptom of momentary headache attacks accompanied with instant chest pain which is associated with premature ventricular contraction.

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An extremely rare presentation of supraventricular tachycardia: Burping

Cited by 11 publications

References 16 publications

Swallowing-induced supraventricular arrhythmia

Swallowing-induced supraventricular arrhythmia

Asthma-like attacks terminated by slow pathway ablation

Premature Ventricular Complex Causing Ice-Pick Headache

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