Speech-induced Atrial Tachycardia with Presyncope

Speech-induced atrial tachycardia (AT) with presyncope is extremely rare. A 52-year-old woman employed at a supermarket reported recurrent presyncope while speaking out loud at her job. Holter electrocardiography revealed AT while swallowing without presyncope. The patient's blood pressure decr...

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Detalles Bibliográficos
Autores principales: Doi, Shunichi, Furukawa, Toshiyuki, Kameshima, Haruka, Tanaka, Osamu, Harada, Tomoo, Akashi, Yoshihiro J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518532/
https://www.ncbi.nlm.nih.gov/pubmed/36575016
http://dx.doi.org/10.2169/internalmedicine.1028-22
Descripción
Sumario:Speech-induced atrial tachycardia (AT) with presyncope is extremely rare. A 52-year-old woman employed at a supermarket reported recurrent presyncope while speaking out loud at her job. Holter electrocardiography revealed AT while swallowing without presyncope. The patient's blood pressure decreased during AT, and she experienced presyncope while saying “IRASSHAIMASE” loudly during a tilt table test. Accordingly, bisoprolol 1.25 mg was prescribed, and the patient did not experience episodes of presyncope with recurrence of AT for 2 years. This case suggests that provocation of arrhythmia in the tilting position may be useful for demonstrating a relationship between arrhythmia and presyncope and/or syncope.

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