Silence is golden: an uncommon case of vocalization-triggered atrial tachycardia

Can J Cardiol. 2014 Feb;30(2):247.e3-6. doi: 10.1016/j.cjca.2013.09.025. Epub 2013 Oct 2.

Abstract

Vocalization-related atrial tachyarrhythmias are extremely rare. We describe the case of a young woman in whom speaking was proven to be the trigger of a nearly incessant right atrial tachycardia, poorly controlled with medical therapy and successfully treated with catheter ablation. The identification of the trigger was pivotal for mapping and ablation, providing a reliable means to assess the success of the procedure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Catheter Ablation / methods
  • Electrocardiography*
  • Female
  • Humans
  • Noise / adverse effects*
  • Speech*
  • Tachycardia, Ectopic Atrial / etiology*
  • Tachycardia, Ectopic Atrial / physiopathology
  • Tachycardia, Ectopic Atrial / surgery