M. Leo Hughes Jr., M.D., F.A.C.P.; Lucius D. Hill, M.D.
This content is PDF only. Please click on the PDF icon to access.
Recurrent episodes of atrial fibrillation occuring in five patients for 2 or more years were abolished by surgical repair of symptomatic hiatal hernia. The radiographically demonstrated hiatal hernia had been refractory to medical management for 1 or more years. Free or induced gastric acid reflux was demonstrated by gastroesophageal pH and pressure studies, and esophagitis was seen on esophagoscopy. Selective coronary arteriograms were normal. Blood pressure determinations, chest X rays, thyroid studies, and electrocardiograms (without the arrhythmia) were normal.
A characteristic history was episodes of epigastric fullness and acid regurgitation followed by the onset of rapid atrial fibrillation with a
Hughes ML, Hill LD. Atrial Fibrillation Due to Hiatal Hernia.. Ann Intern Med. ;74:834–835. doi: 10.7326/0003-4819-74-5-834_5
Download citation file:
Published: Ann Intern Med. 1971;74(5):834-835.
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use