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Original Article
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Korean J Med. 2005;69(3):818-823.
- 증례 : 연하 유발성 심방세동 1예
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이현국&#;전국진&#;이동완&#;이혜정&#;김준홍&#;홍택종&#;신영우, , , , , ,
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- A case of atrial fibrillation triggered by swallowing
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Hyeon Gook Lee, Kook Jin Chun, Dong Wan Lee, Hye Jeong Lee, June Hong Kim, Taek Jong Hong, Yung Woo Shin
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Department of Medicine, Sungkyunkwan University School of Medicine
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- Abstract
- Deglutition tachyarrhythmias are rare. We report a case of atrial fibrillation triggered by swallowing. A 63 year old female presented to our hospital with a 20 day history of paroxysmal palpitations lasting approximately 5 to 10 seconds in duration and precipitated by ingestion of solids but not liquids. Cardiovascular examination, chest radiography, Echocardiography, upper GI endoscopy and thyroid function tests were normal and 24 hour ambulatory monitoring showed sinus rhythm except for numerous episodes of atrial fibrillation with rates of 150 to 200 beats/minute during meals. Most episodes spontaneously reverted to sinus rhythm within few minutes. The patient's exercise tolerance was good with the achievement of 96% of the age predicted maximum heart rate. Her symptoms were controlled by verapamil. She is currently symptom-free with regular doses of verapamil under clinical follow-up.(Korean J Med 69:S818-S823, 2005)
Keywords :Swallowing, Atrial fibrillation
