Author/Authors :
Nesheiwat, Zeid Department of Internal Medicine - The University of Toledo Medical Center, Toledo, Ohio, USA , Ghanim, Marcel Department of Internal Medicine - The University of Toledo Medical Center, Toledo, Ohio, USA , Eid, Joseph Department of Internal Medicine - The University of Toledo Medical Center, Toledo, Ohio, USA , Patel, Neha Department of Internal Medicine - The University of Toledo Medical Center, Toledo, Ohio, USA , Burmeister, Cameron Department of Internal Medicine - The University of Toledo Medical Center, Toledo, Ohio, USA , Eltahawy, Ehab Department of Cardiology - The University of Toledo Medical Center, Toledo, Ohio, USA
Abstract :
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.
