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Swallowing‐induced Atrial Tachyarrhythmia Triggered by Salbutamol: Case Report and Review of the Literature

A 49‐year‐old patient experienced chest discomfort while swallowing. On electrocardiogram, episodes of atrial tachyarrhythmia were recorded immediately after swallowing; 24‐hour Holter monitoring recorded several events. The arrhythmia resolved after therapy with atenolol, but recurred a year later. The patient noticed that before these episodes he had been using an inhalator of salbutamol. After stopping the β‐agonist, and after a week with the atenolol, the arrhythmia disappeared.