Case Report (n=1)
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Mega-oesophagus secondary to achalasia can be a rare, reversible cause of atrial fibrillation, likely due to vagal repression or direct pressure effects on the atria.
Mega-oesophagus may rarely trigger reversible AF; hypothesis-generating case report leaves open any clinical role.
BACKGROUND: Atrial fibrillation (AF) is the most common cardiac arrhythmia, and it increases in prevalence with advancing age to about 5% in people older than 65 years. CASE PRESENTATION: We present a rare case of atrial fibrillation secondary to a mega-oesophagus occurring in an 84-year-old Caucasian woman. The patient had a history of progressive dysphagia and the accumulation of food debris lead to mega-oesophagus. CONCLUSION: The diagnosis was made by barium swallow and electrocardiogram; evacuations of 300 ml of the food debris lead to complete resolution of the arrhythmia. The possible aetiology leading to this AF is discussed.
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Upile et al. (2006) conducted a case report in Atrial fibrillation secondary to mega-oesophagus (n=1). Evacuation of food debris was evaluated on Resolution of arrhythmia.
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