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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Catheter ablation for atrial fibrillation

5

IX.n Vagal nerve injury (may cause GE reflux/GERD)

1
Last update : 26/09/2014
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Anticoagulants, direct oral (anti-thrombin, -IIa, -Xa) - NOAC
3
Anticoagulants, oral (vitamin K antagonists-VKA)
5
Electrophysiologic procedures
2

Publications

Pulmonary vein isolation-induced vagal nerve injury and gastric motility disorders detected by electrogastrography: The side effects of pulmonary vein isolation in atrial fibrillation (SEPIA) study.
Journal of cardiovascular electrophysiology 2023 Mar;34;583-592 2023 Mar
Factors associated with periesophageal vagal nerve injury after pulmonary vein antrum isolation.
Journal of the American Heart Association 2014 Sep 23;3;e001209 2014 Sep 23

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