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吞咽依赖性房性快速性心律失常。其机制。

Swallowing-dependent atrial tachyarrhythmias. Their mechanism.

作者信息

Suarez L D, Chiozza M A, Foye R, Mosso H, Perosio A M

出版信息

J Electrocardiol. 1980;13(3):301-5. doi: 10.1016/s0022-0736(80)80036-7.

DOI:10.1016/s0022-0736(80)80036-7
PMID:7411002
Abstract

We describe here the case of one patient who exhibited several types of atrial tachyarrhythmias induced by swallowing. There was no evidence of other cardiac or gastroesophagic abnormalities. The electrophysiologic study demonstrated a second degree A-V block due to block within the atria. Our findings suggest that the mechanism operative may be an intra-atrial micro-reentry induced by an increased vagovagal reflex triggered by the normal esophageal peristalsis.

摘要

我们在此描述一例患者,该患者出现了几种由吞咽诱发的房性快速性心律失常。未发现其他心脏或胃食管异常的证据。电生理研究显示因心房内阻滞导致二度房室传导阻滞。我们的研究结果提示,其可能的机制是由正常食管蠕动触发的迷走神经反射增强所诱发的心房内微折返。

相似文献

1
Swallowing-dependent atrial tachyarrhythmias. Their mechanism.吞咽依赖性房性快速性心律失常。其机制。
J Electrocardiol. 1980;13(3):301-5. doi: 10.1016/s0022-0736(80)80036-7.
2
Symptomatic swallowing-induced paroxysmal supraventricular tachycardia.症状性吞咽诱发的阵发性室上性心动过速
Am J Cardiol. 1977 May 4;39(5):741-3. doi: 10.1016/s0002-9149(77)80138-0.
3
The mechanism of paroxysmal atrial tachycardia. Sustained reciprocation.阵发性房性心动过速的机制。持续性折返。
Am J Cardiol. 1970 Sep;26(3):329-30. doi: 10.1016/0002-9149(70)90804-0.
4
Swallowing-induced paroxysmal supraventricular tachycardia.吞咽诱发的阵发性室上性心动过速。
Jpn Heart J. 1987 Jul;28(4):555-60. doi: 10.1536/ihj.28.555.
5
Swallowing-induced paroxysmal supraventricular tachycardia.吞咽诱发的阵发性室上性心动过速。
J Electrocardiol. 1980;13(1):83-4. doi: 10.1016/s0022-0736(80)80015-x.
6
Paroxysmal supraventricular tachycardia with Wenckebach block: evidence for reentry within the upper portion of the atrioventricular node.伴有文氏阻滞的阵发性室上性心动过速:房室结上部存在折返的证据
J Am Coll Cardiol. 1984 Jun;3(6):1551-5. doi: 10.1016/s0735-1097(84)80295-8.
7
Paroxysmal supraventricular tachycardia initiated by a swallowing-induced premature atrial beat.由吞咽诱发的房性早搏引发的阵发性室上性心动过速。
J Electrocardiol. 1986 Apr;19(2):193-6. doi: 10.1016/s0022-0736(86)80028-0.
8
A case of swallow syncope induced by vagovagal reflex.一例由迷走神经反射引起的吞咽性晕厥。
Jpn J Med. 1990 Mar-Apr;29(2):199-202. doi: 10.2169/internalmedicine1962.29.199.
9
Paroxysmal atrial tachycardia provoked by swallowing.吞咽诱发的阵发性房性心动过速
Br Med J (Clin Res Ed). 1981 Mar 21;282(6268):952. doi: 10.1136/bmj.282.6268.952.
10
Interactions between the autonomic nervous system and tachycardias in man.人体自主神经系统与心动过速之间的相互作用。
Cardiol Clin. 1983 May;1(2):143-85.

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5
Nocturnal swallowing augments arousal intensity and arousal tachycardia.夜间吞咽会增加觉醒强度和觉醒时的心动过速。
Proc Natl Acad Sci U S A. 2020 Apr 14;117(15):8624-8632. doi: 10.1073/pnas.1907393117. Epub 2020 Mar 30.
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Swallowing-induced atrial tachycardia.吞咽诱发的房性心动过速。
CMAJ. 2018 Apr 23;190(16):E507-E509. doi: 10.1503/cmaj.171261.
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Swallowing-induced atrial tachyarrhythmia triggered by salbutamol: case report and review of the literature.沙丁胺醇诱发吞咽相关性房性心动过速:病例报告及文献复习。
Clin Cardiol. 2010 Jun;33(6):E116-20. doi: 10.1002/clc.20663.