Farah Nesrine, Trana Catalina
Cardiology, Hôpital Riviera Chablais, Rennaz, CHE.
Cureus. 2021 Oct 2;13(10):e18448. doi: 10.7759/cureus.18448. eCollection 2021 Oct.
While bradyarrhythmia is the most common arrhythmia during deglutition, tachycardias are considered to be a very rare condition with approximately 50 cases documented worldwide. The subjects are usually men with no structural heart disease or gastrointestinal pathology, and symptoms may vary from palpitations to lightheadedness or syncope. Management is based on adapting alimentary habits in combination with agents such as beta-blockers, calcium channel blockers, and class IA, IC, and III drugs. Radiofrequency catheter ablation offers a permanent cure in the majority of the reported cases. We report the case of a 51-year-old male with swallowing-induced palpitations, corresponding to brief episodes of atrial tachycardia. Beta-blockers and calcium channel blockers were interrupted because of intolerance. Lifestyle measures with fractionated meals allowing small boluses significantly reduced symptoms. The patient was reticent to invasive measures.
虽然心动过缓是吞咽过程中最常见的心律失常，但心动过速被认为是一种非常罕见的病症，全球记录在案的病例约有50例。患者通常为无结构性心脏病或胃肠道病变的男性，症状可能从心悸到头晕或晕厥不等。治疗方法是调整饮食习惯，并结合使用β受体阻滞剂、钙通道阻滞剂以及IA类、IC类和III类药物等药物。射频导管消融术在大多数报告的病例中可实现永久性治愈。我们报告一例51岁男性病例，其因吞咽诱发心悸，对应短暂的房性心动过速发作。由于不耐受，停用了β受体阻滞剂和钙通道阻滞剂。采取少食多餐、每次进食少量食物的生活方式措施后，症状明显减轻。患者不愿接受侵入性治疗。
