Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution

It is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated r...

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Autores principales: Nesheiwat, Zeid, Ghanim, Marcel, Eid, Joseph, Patel, Neha, Burmeister, Cameron, Eltahawy, Ehab
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079257/
https://www.ncbi.nlm.nih.gov/pubmed/32206354
http://dx.doi.org/10.1155/2020/6398196
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author Nesheiwat, Zeid
Ghanim, Marcel
Eid, Joseph
Patel, Neha
Burmeister, Cameron
Eltahawy, Ehab
author_facet Nesheiwat, Zeid
Ghanim, Marcel
Eid, Joseph
Patel, Neha
Burmeister, Cameron
Eltahawy, Ehab
author_sort Nesheiwat, Zeid
collection PubMed
description It is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated restoration of sinus rhythm in a patient with atrial fibrillation and rapid ventricular response upon transesophageal probe insertion. This case is unique due to the mechanism of vagally mediated cardioversion. It emphasizes that operators must be cautious regarding the risk of embolization of a potential thrombus from vagal-mediated cardioversion with unknown thrombus burden.
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spelling pubmed-70792572020-03-23 Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution Nesheiwat, Zeid Ghanim, Marcel Eid, Joseph Patel, Neha Burmeister, Cameron Eltahawy, Ehab Case Rep Cardiol Case Report It is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated restoration of sinus rhythm in a patient with atrial fibrillation and rapid ventricular response upon transesophageal probe insertion. This case is unique due to the mechanism of vagally mediated cardioversion. It emphasizes that operators must be cautious regarding the risk of embolization of a potential thrombus from vagal-mediated cardioversion with unknown thrombus burden. Hindawi 2020-03-02 /pmc/articles/PMC7079257/ /pubmed/32206354 http://dx.doi.org/10.1155/2020/6398196 Text en Copyright © 2020 Zeid Nesheiwat et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nesheiwat, Zeid
Ghanim, Marcel
Eid, Joseph
Patel, Neha
Burmeister, Cameron
Eltahawy, Ehab
Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
title Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
title_full Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
title_fullStr Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
title_full_unstemmed Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
title_short Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
title_sort gag reflex-mediated restoration of sinus rhythm during tee probe insertion for atrial fibrillation: a word of caution
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079257/
https://www.ncbi.nlm.nih.gov/pubmed/32206354
http://dx.doi.org/10.1155/2020/6398196
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