Reversible Atrial Fibrillation Due to Mega-Oesophagus
Author Information
Author(s): Upile Tahwinder, Jerjes Waseem, El Maaytah Mohammed, Singh Sandeep, Hopper Colin, Mahil Jaspal
Primary Institution: University College London Hospitals
Hypothesis
Can the removal of food debris from the oesophagus resolve atrial fibrillation?
Conclusion
The removal of food debris from the cervical oesophagus led to the complete resolution of atrial fibrillation in the patient.
Supporting Evidence
- The patient had a history of progressive dysphagia leading to mega-oesophagus.
- Electrocardiogram showed evidence of atrial fibrillation with a rapid ventricular response.
- Removal of 300 ml of food debris resulted in reversion to sinus rhythm.
Takeaway
A woman had a heart problem because her food was stuck in her throat, and when the doctors took the food out, her heart went back to normal.
Methodology
The patient underwent a barium swallow, electrocardiogram, and removal of food debris from the oesophagus.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
An 84-year-old Caucasian woman.
Digital Object Identifier (DOI)
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