Recurrent Episodes of Paroxysmal Supraventricular Tachycardia Triggered by Dyspepsia: A Rare Case of Gastrocardiac Syndrome

Khadija Qureshi; Nauman Naeem; Shoaib Saleem; Maida S Chaudhry; Fajar Pasha

doi:10.7759/cureus.17966

Recurrent Episodes of Paroxysmal Supraventricular Tachycardia Triggered by Dyspepsia: A Rare Case of Gastrocardiac Syndrome

Cureus. 2021 Sep 14;13(9):e17966. doi: 10.7759/cureus.17966. eCollection 2021 Sep.

Authors

Khadija Qureshi¹, Nauman Naeem², Shoaib Saleem³, Maida S Chaudhry⁴, Fajar Pasha^{5

6}

Affiliations

¹ Internal Medicine, Bucks County Kidney Specialists, Langhorne, USA.
² Internal Medicine, Allama Iqbal Memorial Hospital, Sialkot, PAK.
³ Medicine, District Headquarter Hospital, Kotli, PAK.
⁴ Internal Medicine, DHR Health Institute for Research and Development, Edinburg, USA.
⁵ Internal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.
⁶ Internal Medicine, Holy Family Hospital, Rawalpindi, PAK.

Abstract

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.

Keywords: abdominal bloating; dyspepsia; gastrocardiac syndrome; supraventricular tachycardia; vagal response.

Publication types

Case Reports