Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution
It is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated r...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/6398196 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832553949138255872 |
|---|---|
| author | Zeid Nesheiwat Marcel Ghanim Joseph Eid Neha Patel Cameron Burmeister Ehab Eltahawy |
| author_facet | Zeid Nesheiwat Marcel Ghanim Joseph Eid Neha Patel Cameron Burmeister Ehab Eltahawy |
| author_sort | Zeid Nesheiwat |
| collection | DOAJ |
| description | It is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated restoration of sinus rhythm in a patient with atrial fibrillation and rapid ventricular response upon transesophageal probe insertion. This case is unique due to the mechanism of vagally mediated cardioversion. It emphasizes that operators must be cautious regarding the risk of embolization of a potential thrombus from vagal-mediated cardioversion with unknown thrombus burden. |
| format | Article |
| id | doaj-art-77a45ce0ca7644bd93c680c5b408f319 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-77a45ce0ca7644bd93c680c5b408f3192025-02-03T05:52:44ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/63981966398196Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of CautionZeid Nesheiwat0Marcel Ghanim1Joseph Eid2Neha Patel3Cameron Burmeister4Ehab Eltahawy5Department of Internal Medicine, The University of Toledo Medical Center, Toledo, Ohio, USADepartment of Internal Medicine, The University of Toledo Medical Center, Toledo, Ohio, USADepartment of Internal Medicine, The University of Toledo Medical Center, Toledo, Ohio, USADepartment of Internal Medicine, The University of Toledo Medical Center, Toledo, Ohio, USADepartment of Internal Medicine, The University of Toledo Medical Center, Toledo, Ohio, USADepartment of Cardiology, The University of Toledo Medical Center, Toledo, Ohio, USAIt is recommended to attempt vagal maneuvers as initial therapy in various types of supraventricular tachycardia. While various forms of vagal techniques have been described, a gag reflex-mediated vagal technique, to the best of our knowledge, has not been. We present a case of gag reflex-mediated restoration of sinus rhythm in a patient with atrial fibrillation and rapid ventricular response upon transesophageal probe insertion. This case is unique due to the mechanism of vagally mediated cardioversion. It emphasizes that operators must be cautious regarding the risk of embolization of a potential thrombus from vagal-mediated cardioversion with unknown thrombus burden.http://dx.doi.org/10.1155/2020/6398196 |
| spellingShingle | Zeid Nesheiwat Marcel Ghanim Joseph Eid Neha Patel Cameron Burmeister Ehab Eltahawy Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution Case Reports in Cardiology |
| title | Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution |
| title_full | Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution |
| title_fullStr | Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution |
| title_full_unstemmed | Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution |
| title_short | Gag Reflex-Mediated Restoration of Sinus Rhythm during TEE Probe Insertion for Atrial Fibrillation: A Word of Caution |
| title_sort | gag reflex mediated restoration of sinus rhythm during tee probe insertion for atrial fibrillation a word of caution |
| url | http://dx.doi.org/10.1155/2020/6398196 |
| work_keys_str_mv | AT zeidnesheiwat gagreflexmediatedrestorationofsinusrhythmduringteeprobeinsertionforatrialfibrillationawordofcaution AT marcelghanim gagreflexmediatedrestorationofsinusrhythmduringteeprobeinsertionforatrialfibrillationawordofcaution AT josepheid gagreflexmediatedrestorationofsinusrhythmduringteeprobeinsertionforatrialfibrillationawordofcaution AT nehapatel gagreflexmediatedrestorationofsinusrhythmduringteeprobeinsertionforatrialfibrillationawordofcaution AT cameronburmeister gagreflexmediatedrestorationofsinusrhythmduringteeprobeinsertionforatrialfibrillationawordofcaution AT ehabeltahawy gagreflexmediatedrestorationofsinusrhythmduringteeprobeinsertionforatrialfibrillationawordofcaution |