Article Text

Download PDFPDF
Rare and unusual presentation of gastrocardiac syndrome
  1. Aditya Mehta1,
  2. Anandbir Bath1,
  3. Mohammad Umar Ahmed1 and
  4. Jagadeesh K Kalavakunta2
  1. 1Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA
  2. 2Department of Cardiology, Ascension Borgess Heart Institute, Kalamazoo, Michigan, USA
  1. Correspondence to Dr Aditya Mehta; ADIMEHTA1009{at}GMAIL.COM


Gastrointestinal pathology can cause cardiac symptoms and disorders. We present a case of a patient who had worsening of her palpitations with food intake. She was found to have a high burden of premature ventricular contractions in the setting of hiatal hernia and gastro-oesophageal reflux disease. After extensive investigations and ruling out cardiac causes, her arrhythmia resolved with the surgical correction of hiatal hernia.

  • arrhythmias
  • pacing and electrophysiology
  • gastroenterology
  • gastrointestinal surgery

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Contributors AM, AB, JKK and MUA prepared the manuscript. The final manuscript was reviewed and approved by all the authors. The patient was identified and managed by AB, AM and JKK.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.