Swallowing-induced atrial tachyarrhythmias successfully ablated at the left posterior interatrial septum in patient with Wolff-Parkinson-White syndrome

Ji Eun Ban, Sang Weon Park, Hyun Soo Lee, Jong Il Choi, Young Hoon Kim

Research output: Contribution to journalArticle

Abstract

We reported a case of a 55-year-old patient who presented with palpitation after swallowing. Initial surface electrocardiogram revealed ventricular preexcitation utilizing a left lateral bypass tract. The orthodromic atrioventricular reentrant tachycardia (AVRT) was induced during electrophysiologic studies. After successful ablation of the AVRT utilizing a left lateral free wall bypass tract, 2 different atrial tachycardias (ATs) were induced under isoproterenol infusion. When the patient swallowed saliva or drank water, 2 consecutive beats of atrial premature complexes (APCs) preceded another non-sustained AT repeatedly, which was coincident with the patient's symptom. The preceding APC couplet had the same activation sequence with one induced AT, and the subsequent non-sustained AT had the same activation sequence with the other induced AT, respectively. We first targeted the preceding 2 consecutive APCs at the left posterior interatrial septum. The following non-sustained AT was also eliminated following ablation of the APCs. After ablation, the patient remained free from the swallowing-induced atrial tachyarrhythmias during the one year follow-up.

Original languageEnglish
Pages (from-to)253-258
Number of pages6
JournalKorean Circulation Journal
Volume45
Issue number3
DOIs
Publication statusPublished - 2015 May 1

Keywords

  • Atrial tachycardia
  • Catheter ablation
  • Deglutition

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine

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