PDF(Pubmed)
Abstract：
Most patients with hiatal hernia (HH) are asymptomatic; however, common symptoms include gastroesophageal reflux disease (GERD) and heart burn. Larger hernia can cause obstruction, ischemia of the bowel, volvulus of the contents of the hernial sac, respiratory distress, and rarely, cardiac abnormalities are also noted. Most reported cardiac abnormalities associated with HH include atrial fibrillation, atrial flutter, supraventricular tachycardia, and bradycardia. We present a rare case of a large HH causing frequent premature ventricular contractions in bigeminy form that resolved with surgical correction of HH and did not recur on subsequent Holter monitoring. We highlight the potential association between HH/GERD and cardiac arrhythmias and reinforce the need to keep HH/GERD as one of the working diagnoses in a patient with cardiac arrhythmia.
UNASSIGNED: •Large hiatal hernia can cause several arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, bradycardia, and premature ventricular contractions (PVCs).•It is essential to consider hiatal hernia and gastroesophageal reflux disease as one of the differentials in the work up of cardiac arrhythmias including PVCs.
UNASSIGNED: •Large hiatal hernia can cause several arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardia, bradycardia, and premature ventricular contractions (PVCs).•It is essential to consider hiatal hernia and gastroesophageal reflux disease as one of the differentials in the work up of cardiac arrhythmias including PVCs.
摘要：
大多数食管裂孔疝（HH）患者无症状；然而，常见症状包括胃食管反流病（GERD）和心脏烧伤。较大的疝气会导致梗阻，肠缺血，疝囊内容物的扭转，呼吸窘迫,很少，还注意到心脏异常。大多数报告的与HH相关的心脏异常包括心房颤动，房扑,室上性心动过速,和心动过缓.我们介绍了一例罕见的大HH病例，该病例以双联形式引起频繁的室性早搏，该病例通过手术矫正HH得以解决，并且在随后的Holter监测中没有复发。我们强调了HH/GERD与心律失常之间的潜在关联，并强调了将HH/GERD作为心律失常患者的有效诊断之一的必要性。
■•大裂孔疝可引起多种心律失常，如心房颤动，房扑,室上性心动过速,心动过缓,和室性早搏（PVCs）。•必须将食管裂孔疝和胃食管反流病视为包括PVC在内的心律失常的区别之一。
■•大裂孔疝可引起多种心律失常，如心房颤动，房扑,室上性心动过速,心动过缓,和室性早搏（PVCs）。•必须将食管裂孔疝和胃食管反流病视为包括PVC在内的心律失常的区别之一。
