Preprint Article Version 1 This version is not peer-reviewed

The Association of High Burden Premature Ventricular Contractions With Esophageal/Upper GI Diseases

Version 1 : Received: 25 July 2024 / Approved: 26 July 2024 / Online: 26 July 2024 (12:54:17 CEST)

How to cite: Khimani, F.; Haase, E.; Kulkarni, C.; Moore, P.; Murdock, P.; Ramanathan, A. V.; Wolf, A.; Sathyamoorthy, M. The Association of High Burden Premature Ventricular Contractions With Esophageal/Upper GI Diseases. Preprints 2024, 2024072143. https://doi.org/10.20944/preprints202407.2143.v1 Khimani, F.; Haase, E.; Kulkarni, C.; Moore, P.; Murdock, P.; Ramanathan, A. V.; Wolf, A.; Sathyamoorthy, M. The Association of High Burden Premature Ventricular Contractions With Esophageal/Upper GI Diseases. Preprints 2024, 2024072143. https://doi.org/10.20944/preprints202407.2143.v1

Abstract

Seven patients in our clinical program who were diagnosed with high burden (>10%) premature ventricular contractions (PVCs) and concomitant significant upper GI disease with no other significant cardiac history demonstrated a significant reduction in the burden of PVCs following surgical or procedural interventions of the upper GI tract [68.34% reduction, p=0.024). Furthermore, in all cases, the origin of the PVCs was from the base of the right ventricular outflow tract (RVOT). This is the first report in the literature that we are aware of to report this unique association for which we propose a dual mechanism of action of vagally mediated upper GI driven PVCs and a direct anatomical effect of these upper GI anatomies on the right ventricular outflow tract (RVOT) of the heart. These are very prelimary findings that warrant larger clinical and mechanistic studies that may ultimately define a new subset of PVCs for which we propose a term, “E-PVCs”.

Keywords

Premature ventricular contractions; vagus nerve; esophageal disease

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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