What question did this study set out to answer?

To highlight cardiac dysphagia as a potential cause of swallowing difficulties in patients with heart disease.

May 21, 2026Open Access

Cardiac Dysphagia: When the Heart Disrupts Swallowing

Puntos clave

To highlight cardiac dysphagia as a potential cause of swallowing difficulties in patients with heart disease.
Descriptive case series with three patients aged 31, 70, and 71 years.
Evaluated with barium swallow, esophageal manometry, endoscopy, and cardiac imaging.
Identified diverse clinical presentations of dysphagia among patients.
All three patients exhibited symptomatic improvement upon diagnosis and management adjustment.
Emphasized the need for cardiac evaluation in patients presenting with dysphagia and heart disease.
Proposed multimodal evaluation as a key diagnostic approach.

Resumen

Cardiac dysphagia is a rare cause of dysphagia due to an enlarged left atrium compressing the esophagus. We describe three patients (ages 70, 71, and 31) with past medical histories of advanced heart disease who presented with diverse clinical manifestations of dysphagia. Recognition of cardiac dysphagia is important to prevent unnecessary esophageal interventions. Multimodal evaluation with barium swallow, esophageal manometry, endoscopy, and cardiac imaging facilitates diagnosis and management. These cases highlight the importance of considering cardiac causes of dysphagia in patients with severe underlying heart disease.

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