Speech-induced atrial tachycardia: A narrative review of putative mechanisms implicating the autonomic nervous system

Gabriel M Pajares Hurtado; John-Ross D Clarke; Andre Zimerman; Timothy Maher; Liliana Tavares; Andre d'Avila

doi:10.1016/j.hroo.2023.07.006

Speech-induced atrial tachycardia: A narrative review of putative mechanisms implicating the autonomic nervous system

Heart Rhythm O2. 2023 Jul 20;4(9):574-580. doi: 10.1016/j.hroo.2023.07.006. eCollection 2023 Sep.

Authors

Gabriel M Pajares Hurtado¹, John-Ross D Clarke¹, Andre Zimerman², Timothy Maher³, Liliana Tavares⁴, Andre d'Avila³

Affiliations

¹ Cardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
² TIMI Study Group, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
³ Harvard-Thorndike Electrophysiology Institute, Cardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
⁴ Department of Medicine, MetroWest Medical Center, Tufts School of Medicine, Framingham, Massachusetts.

Abstract

Despite being uncommon, speech-induced atrial tachycardias carry significant morbidity and affect predominantly healthy individuals. Little is known about their mechanism, treatment, and prognosis. In this review, we seek to identify the underlying connections and pathophysiology between speech and arrhythmias while providing an informed approach to evaluation and management.

Keywords: Atrial tachycardia; Autonomic nervous system; Central nervous system; Mechanisms of arrhythmia; Speech production.

Publication types

Review