An Uncommon Cause of Syncope and Left Atrial Appendage Thrombus: Speech-Induced Atrial Tachycardia
Shiro Miura, Wataru Nagahori, Hirofumi Mitsuyama, Takehiro Yamashita

TL;DR
An 83-year-old woman experienced syncope due to a rare heart condition triggered by speaking, successfully treated with ablation.
Contribution
This is the first case report linking speech-induced atrial tachycardia to syncope and atrial thrombus formation.
Findings
Speech-induced atrial tachycardia was identified as a cause of syncope in an 83-year-old woman.
Catheter ablation successfully treated the condition.
The case suggests a novel association between arrhythmia, syncope, and atrial thrombus formation.
Abstract
An 83-year-old, previously healthy woman experienced frequent episodes of syncope following conversations. Speech-induced atrial tachycardia complicated by left atrial appendage thrombus was diagnosed as a potential etiology. She was successfully treated via catheter ablation. This is the first case report suggesting an association between arrhythmia, syncope, and atrial thrombus formation.
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Taxonomy
TopicsAtrial Fibrillation Management and Outcomes · Cardiac Arrhythmias and Treatments · Cardiac tumors and thrombi
