Key result
RFCA for AF immediately normalizes esophageal symptoms and manometry in a hypercontractile esophagus case.
Why the study?
The pathophysiology of jackhammer esophagus is complex and remains unclear, and the effects of radiofrequency catheter ablation on this condition are not well described.
Case Report (n=1)
A case report demonstrating the unexpected resolution of hypercontractile esophagus following radiofrequency catheter ablation for atrial fibrillation.
Single case leaves open any link between AF ablation and hypercontractile esophagus resolution; hypothesis-generating, should not change practice.
The pathophysiology of jackhammer esophagus is complex and remains unclear. Radiofrequency catheter ablation is indicated for highly symptomatic and drug-refractory atrial fibrillation. This technique can induce esophageal and nerve lesions, due to thermal injury. In this report, we describe a case of hypercontractile esophagus diagnosed by HRM (high-resolution manometry). Esophageal symptoms and HRM normalized immediately after RFCA, and we discuss the pathophysiology of hypercontractile esophagus.
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Anon et al. (2020) conducted a case report in Hypercontractile esophagus and atrial fibrillation (n=1). Radiofrequency catheter ablation was evaluated on Resolution of esophageal symptoms and normalization of high-resolution manometry. Radiofrequency catheter ablation for atrial fibrillation resulted in the immediate normalization of esophageal symptoms and high-resolution manometry in a patient with hypercontractile esophagus.
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