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Gastroenterology (Expert Forum)
the relationship between swallowing and arrythmias/flutters
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
the relationship between swallowing and arrythmias/flutters
by browndog, Jul 05, 2003 12:00AM
What is the cause of cardiac arrythmias/flutters that occur immediately following swallowing. It can be reproduced at will by swallowing. The arrythmias have been seen on EKG when I swallow. What tests should be performed? Diagnoses persued and treatment /relief provided?
Doctor's Answer
by Kevin Pho, MD, Jul 07, 2003 12:00AM
, Jul 07, 2003 12:00AM
Hello - thanks for asking your question.
I am not aware of any specific diseases where swallowing can trigger arrythmias. The vagus nerve regulates swallowing and heart rhythm as well as transmits sensory information regarding the esophagus to the brain. Inflammation of vagal fibers (which can be seen with esophagitis) may alter the vagal tone thus affecting heart rhythm.
The tests that should be considered depends on what the arrhythmia is. This can be determined via an event monitor (a device that records your heart rhythm after an "event" - like swallowing). An EP (electrophysiology) study would the definitive test to see what kind of arrhythmia we are dealing with. These tests can be discussed with your personal physician or cardiologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
I am not aware of any specific diseases where swallowing can trigger arrythmias. The vagus nerve regulates swallowing and heart rhythm as well as transmits sensory information regarding the esophagus to the brain. Inflammation of vagal fibers (which can be seen with esophagitis) may alter the vagal tone thus affecting heart rhythm.
The tests that should be considered depends on what the arrhythmia is. This can be determined via an event monitor (a device that records your heart rhythm after an "event" - like swallowing). An EP (electrophysiology) study would the definitive test to see what kind of arrhythmia we are dealing with. These tests can be discussed with your personal physician or cardiologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
