Why the study?
While several risk factors are linked to the development and recurrence of SVT, its association with gastric problems such as dyspepsia is relatively rare.
Highlights a rare case of gastrocardiac syndrome where dyspepsia triggered recurrent PSVT, successfully managed with gastrointestinal and antiarrhythmic medications.
Case of dyspepsia-associated PSVT is hypothesis-generating; larger studies needed before any clinical consideration.
Supraventricular tachycardia (SVT) refers to the narrow complex tachycardia originating at or above the bundle of His. Several risk factors are associated with the development and recurrence of SVT, but its association with gastric problems, especially dyspepsia, is relatively rare. We report the case of a 54-year-old female who presented to the emergency room (ER) with palpitations, which were diagnosed as an episode of paroxysmal supraventricular tachycardia (PSVT). She had a history of PSVT in the past, along with hypertension and dyspepsia. After thorough history and examination, dyspepsia was identified as the common trigger of her PSVT episodes, pointing towards the likelihood of gastrocardiac symptoms. Therefore, an appropriate regimen of beta-blockers, proton pump inhibitors (PPIs), and anti-foaming agents (simethicone) was prescribed to manage her symptoms with the plan to perform a catheter ablation later.
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Qureshi et al. (2021) studied this question.
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