title: Silence is golden: an uncommon case of vocalization-triggered atrial tachycardia.
abstract: Vocalization-related atrial tachyarrhythmias are extremely rare. We describe the case of a young woman in whom speaking was proven to be the trigger of a nearly incessant right atrial tachycardia, poorly controlled with medical therapy and successfully treated with catheter ablation. The identification of the trigger was pivotal for mapping and ablation, providing a reliable means to assess the success of the procedure.
authors.affiliation: Second Cardiovascular Department, University Hospital, Pisa, Italy. Electronic address: zucchelli7@interfree.it.
authors.forename: Giulio
authors.initials: G
authors.lastname: Zucchelli
authors.affiliation: Second Cardiovascular Department, University Hospital, Pisa, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Coluccia
authors.affiliation: Second Cardiovascular Department, University Hospital, Pisa, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Di Cori
authors.affiliation: Second Cardiovascular Department, University Hospital, Pisa, Italy.
authors.forename: Ezio
authors.initials: E
authors.lastname: Soldati
authors.affiliation: Second Cardiovascular Department, University Hospital, Pisa, Italy.
authors.forename: Maria Grazia
authors.initials: MG
authors.lastname: Bongiorni
mesh_terms: D000328:Adult; D017115:Catheter Ablation / Q000379:methods; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009622:Noise / Q000009:adverse effects*; D013060:Speech; D013612:Tachycardia, Ectopic Atrial / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery