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

Authors

• Riccardo Manfredo Campaner Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerland 0000-0001-8089-4312
• Marco Enzo Tau Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerland
• Francesca Ortelli Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerland
• Maria Luisa De Perna Department of Cardiology, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerland
• Tanja Fusi-Schmidhauser Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Switzerland

riccardo.manfedo@gmail.com

Keywords

Abstract

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.