M. Leo Hughes Jr., M.D., F.A.C.P.; Lucius D. Hill, M.D.
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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. 1971;74:834–835. doi: https://doi.org/10.7326/0003-4819-74-5-834_5
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Published: Ann Intern Med. 1971;74(5):834-835.
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