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- Shunichi Doi, Toshiyuki Furukawa, Haruka Kameshima, Osamu Tanaka, Tomoo Harada, and Yoshihiro J Akashi.
- Heart Center, St. Marianna University School of Medicine, Toyoko Hospital, Japan.
- Intern. Med. 2023 Sep 1; 62 (17): 251725202517-2520.
AbstractSpeech-induced atrial tachycardia (AT) with presyncope is extremely rare. A 52-year-old woman employed at a supermarket reported recurrent presyncope while speaking out loud at her job. Holter electrocardiography revealed AT while swallowing without presyncope. The patient's blood pressure decreased during AT, and she experienced presyncope while saying "IRASSHAIMASE" loudly during a tilt table test. Accordingly, bisoprolol 1.25 mg was prescribed, and the patient did not experience episodes of presyncope with recurrence of AT for 2 years. This case suggests that provocation of arrhythmia in the tilting position may be useful for demonstrating a relationship between arrhythmia and presyncope and/or syncope.
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