When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion

Introduction:“Esophageal spasm” is a generic term widely used to attribute unexplained non-cardiac chest pain and/or dysphagia to an esophageal motility disorder. Patient and methods: The authors present the case of an 86-year-old male patient with complete dysphagia after an elective electrical c...

Full description

Bibliographic Details
Main Authors: Riccardo Manfredo Campaner, Marco Enzo Tau, Francesca Ortelli, Maria Luisa De Perna, Tanja Fusi-Schmidhauser
Format: Article
Language:English
Published: SMC MEDIA SRL 2019-12-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1369
_version_ 1819035451059601408
author Riccardo Manfredo Campaner
Marco Enzo Tau
Francesca Ortelli
Maria Luisa De Perna
Tanja Fusi-Schmidhauser
author_facet Riccardo Manfredo Campaner
Marco Enzo Tau
Francesca Ortelli
Maria Luisa De Perna
Tanja Fusi-Schmidhauser
author_sort Riccardo Manfredo Campaner
collection DOAJ
description Introduction:“Esophageal spasm” is a generic term widely used to attribute unexplained non-cardiac chest pain and/or dysphagia to an esophageal motility disorder. Patient and methods: The authors present the case of an 86-year-old male patient with complete dysphagia after an elective electrical cardioversion for atrial fibrillation. An upper endoscopy performed shortly after the onset of the clinical picture documented disordered esophageal contractions. The patient became asymptomatic within 12 hours of the administration of a spasmolytic therapy. Results: To the best of our knowledge, this is the first report of esophageal spasm after an electrical cardioversion. Discussion: The temporal correlation supports the explanation of a cause-effect relationship between the clinical presentation and the preceding procedure, thus providing elements for clinicians to recognize and treat this particular condition.
first_indexed 2024-12-21T07:49:50Z
format Article
id doaj.art-3de688cc62344c62a14ace528c5d368d
institution Directory Open Access Journal
issn 2284-2594
language English
last_indexed 2024-12-21T07:49:50Z
publishDate 2019-12-01
publisher SMC MEDIA SRL
record_format Article
series European Journal of Case Reports in Internal Medicine
spelling doaj.art-3de688cc62344c62a14ace528c5d368d2022-12-21T19:11:07ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942019-12-0110.12890/2019_0013691369When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical CardioversionRiccardo Manfredo Campaner0Marco Enzo Tau1Francesca Ortelli2Maria Luisa De Perna3Tanja Fusi-Schmidhauser4epartment of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerlandepartment of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerlandepartment of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerlandepartment of Cardiology, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerlandepartment of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, SwitzerlandIntroduction:“Esophageal spasm” is a generic term widely used to attribute unexplained non-cardiac chest pain and/or dysphagia to an esophageal motility disorder. Patient and methods: The authors present the case of an 86-year-old male patient with complete dysphagia after an elective electrical cardioversion for atrial fibrillation. An upper endoscopy performed shortly after the onset of the clinical picture documented disordered esophageal contractions. The patient became asymptomatic within 12 hours of the administration of a spasmolytic therapy. Results: To the best of our knowledge, this is the first report of esophageal spasm after an electrical cardioversion. Discussion: The temporal correlation supports the explanation of a cause-effect relationship between the clinical presentation and the preceding procedure, thus providing elements for clinicians to recognize and treat this particular condition.https://www.ejcrim.com/index.php/EJCRIM/article/view/1369esophageal spasmdysphagiaelectrical cardioversionatrial fibrillation
spellingShingle Riccardo Manfredo Campaner
Marco Enzo Tau
Francesca Ortelli
Maria Luisa De Perna
Tanja Fusi-Schmidhauser
When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion
European Journal of Case Reports in Internal Medicine
esophageal spasm
dysphagia
electrical cardioversion
atrial fibrillation
title When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion
title_full When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion
title_fullStr When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion
title_full_unstemmed When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion
title_short When the Heart Triggers the Esophagus: Esophageal Spasm after Electrical Cardioversion
title_sort when the heart triggers the esophagus esophageal spasm after electrical cardioversion
topic esophageal spasm
dysphagia
electrical cardioversion
atrial fibrillation
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1369
work_keys_str_mv AT riccardomanfredocampaner whenthehearttriggerstheesophagusesophagealspasmafterelectricalcardioversion
AT marcoenzotau whenthehearttriggerstheesophagusesophagealspasmafterelectricalcardioversion
AT francescaortelli whenthehearttriggerstheesophagusesophagealspasmafterelectricalcardioversion
AT marialuisadeperna whenthehearttriggerstheesophagusesophagealspasmafterelectricalcardioversion
AT tanjafusischmidhauser whenthehearttriggerstheesophagusesophagealspasmafterelectricalcardioversion