Ablation of swallowing-induced atrial tachycardia affects heart rate variability: a case report

Heart Vessels. 2014 May;29(3):417-21. doi: 10.1007/s00380-013-0389-z. Epub 2013 Jul 27.

Abstract

A 47-year-old man underwent slow pathway ablation for slow-fast atrioventricular nodal reentrant tachycardia. Following the procedure, he felt palpitations while swallowing, and swallowing-induced atrial tachycardia was diagnosed. Swallowing-induced atrial tachycardia arose from the right atrium-superior vena cava junction and was cured by catheter ablation. After the procedure, the patient's heart rate variability changed significantly, indicating suppression of parasympathetic nerve activity. In this case, swallowing-induced atrial tachycardia was related to the vagal nerve reflex. Analysis of heart rate variability may be helpful in elucidating the mechanism of swallowing-induced atrial tachycardia.

Publication types

  • Case Reports

MeSH terms

  • Catheter Ablation*
  • Deglutition*
  • Electrocardiography, Ambulatory
  • Electrophysiologic Techniques, Cardiac
  • Heart Rate*
  • Humans
  • Male
  • Middle Aged
  • Reflex
  • Tachycardia, Supraventricular / diagnosis
  • Tachycardia, Supraventricular / etiology
  • Tachycardia, Supraventricular / physiopathology
  • Tachycardia, Supraventricular / surgery*
  • Treatment Outcome
  • Vagus Nerve / physiopathology