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

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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.

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Authors and Affiliations

  1. Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, 2-34-10, Ebisu, Shibuya-ku, Tokyo, 150-0013, Japan

    Rintaro Hojo, Seiji Fukamizu, Tae Ishikawa, Takekuni Hayashi, Kota Komiyama, Yasuhiro Tanabe & Tamotsu Tejima

  2. Department of Cardiology, Showa University School of Medicine Hospital, Tokyo, Japan

    Yoichi Kobayashi

  3. Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital, Tokyo, Japan

    Harumizu Sakurada

Authors
  1. Rintaro Hojo
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  2. Seiji Fukamizu
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  3. Tae Ishikawa
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  4. Takekuni Hayashi
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  5. Kota Komiyama
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  6. Yasuhiro Tanabe
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  7. Tamotsu Tejima
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  8. Yoichi Kobayashi
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  9. Harumizu Sakurada
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Correspondence to Rintaro Hojo.

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Hojo, R., Fukamizu, S., Ishikawa, T. et al. Ablation of swallowing-induced atrial tachycardia affects heart rate variability: a case report. Heart Vessels 29, 417–421 (2014). https://doi.org/10.1007/s00380-013-0389-z

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  • DOI: https://doi.org/10.1007/s00380-013-0389-z

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