INTENSIFICATION OF PERMANENT FORM OF JUNCTIONAL RECIPROCATING TACHYCARDIA BY SWALLOWING

Paroxysmal Permanent Junctional Reciprocating Tachycardia (PJRT) is caused after rapid and sudden
pacing of excitatory foci in atrioventricular junction. While it happens mostly in infants and children,
it is rarely seen in adults.
A 30-year-old female came to our emergency department repeatedly with the chief complaint of
palpitation. She was later diagnosed with PSVT and throughout her several referrals, she received
adenosine or verapamil depending on her condition. Consequently, her rate was controlled. In the
period of pregnancy, these attacks became frequent. For delivery, she was admitted to our intensive
care unit due to cardiac concerns. Throughout her hospitalization, a relation between feeding and
attacks were observed; furthermore, attacks were controlled by stimulating gag reflex. Finally, with
the diagnosis of PJRT, she underwent ablation therapy.
PJRT is usually triggered by some drugs or situation like pregnancy and swallowing. Ablation is the
definite and choice treatment in adults.