Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing, China.
Ann Noninvasive Electrocardiol. 2020 Nov;25(6):e12757. doi: 10.1111/anec.12757. Epub 2020 Apr 26.
A 51-year-old woman presented with a 5-year history of a bypass tract of a left posterior septal ablation for atrioventricular reentrant tachycardia (AVRT). Following the procedure, while swallowing even without any water or food, she felt a new onset of palpitations, and swallowing-induced atrial tachycardia was diagnosed. We report on this patient with tachycardia induced by swallowing who received a comprehensive assessment. The swallowing-induced atrial tachycardia deriving from the right pulmonary vein was cured by catheter ablation. In our case, the swallowing-induced atrial tachycardia was connected with the activation of the sympathetic nervous system, which differs from typical reports of a vagal nerve reflex association.
一位 51 岁女性，因房室折返性心动过速（AVRT）而行左侧后间隔旁路消融术，病史 5 年。术后，即使没有吞咽任何水或食物，她也会感到新出现的心悸，诊断为吞咽诱发的房性心动过速。我们报告了一位接受全面评估的因吞咽而引发心动过速的患者。经导管消融治疗，由右肺静脉引起的吞咽诱发房性心动过速被治愈。在我们的病例中，吞咽诱发的房性心动过速与交感神经系统的激活有关，这与典型的迷走神经反射相关报告不同。
