# An Uncommon Cause of Syncope and Left Atrial Appendage Thrombus: Speech-Induced Atrial Tachycardia

## 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.

## Key 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.