Romheld's Gastrocardiac Syndrome, diagnosing a complex of cardiologic and gastroenterologic symptoms

BIJATA, Bartosz, BUREK, Dawid, PASZKOWSKA, Aleksandra, KUJAWA, Aleksandra, MATUSZEWSKA, Urszula, NYKOWSKA, Aleksandra and BEUTLER, Katarzyna. Romheld’s Gastrocardiac Syndrome, diagnosing a complex of cardiologic and gastroenterologic symptoms. Journal of Education, Health and Sport. 2024;53:11-20. eISSN 2391-8306. https://dx.doi.org/10.12775/JEHS.2024.53.001

https://apcz.umk.pl/JEHS/article/view/47785

https://zenodo.org/records/10510493

The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of 05.01.2024 No. 32318. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical culture sciences (Field of medical and health sciences); Health Sciences (Field of medical and health sciences).

Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 05.01.2024 Lp. 32318. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe:  Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).

© The Authors 2024;

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Received: 03.01.2024. Revised: 06.01.2024. Accepted: 09.01.2024. Published: 14.01.2024.

Romheld's Gastrocardiac Syndrome, diagnosing a complex of cardiologic and gastroenterologic symptoms

Bartosz Bijata

University Clinical Hospital of Poznan, Dluga 1/2, 61-848 Poznan

bartoszbijata@gmail.com

https://orcid.org/0009-0005-5874-2183

Dawid Burek

Salvita General Practice Clinic, Lecha 120, 61-298 Poznan

dawid.burek96@gmail.com

https://orcid.org/0009-0009-0114-5184

Aleksandra Paszkowska

St. John Paul II Specialized Medical Center S.A.

Jana Pawla II 2, 57-320 Polanica Zdroj

aleksandra.paszkowska98@gmail.com

https://orcid.org/0009-0002-1042-0220

Aleksandra Kujawa

Medical University of Warsaw, Zwirki i Wigury 61, 02-091 Warszawa ale.kujawa99@gmail.com

https://orcid.org/0009-0003-3538-8631

Urszula Matuszewska

Medical University of Gdansk, M. Sklodowskiej-Curie 3a, 80-210 Gdansk

matuszewskaula@gumed.edu.pl

https://orcid.org/0009-0002-1667-3448

Aleksandra Nykowska

MEDINET General Practice Clinic, Legii Wrzesinskiej 23c, 62-300 Wrzesnia

olanykowska@hotmail.co.uk

https://orcid.org/0009-0000-2853-9823

Katarzyna Beutler

University Clinical Hospital Poznan, Długa 1/2, 61-848 Poznan

kasia.beutler@gmail.com

https://orcid.org/0009-0000-4219-5676

Abstract

In clinical practice among cardiac patients, symptoms of palpitations diagnosed as premature beats or episodes of atrial fibrillation (AF) are very frequently reported. One of the most common diseases in the field of gastroenterology is gastroesophageal reflux disease (GERD) . However, it may happen that the coincidence of the above-mentioned disease entities may predispose to the development of arrhythmias.

In this article we describe the case of a 65-year-old man, without previously diagnosed diseases, in whom a clear association of arrhythmias with gastrointestinal complaints was observed.

The presence of a burning sensation in the lower sternal region and typical symptoms resulting from esophagitis aggravated by triggers allows us to suspect esophageal reflux disease. Diagnostic tests performed for concomitant cardiac diseases did not reveal an organic cause of the arrhythmia. The recurrent course of symptoms observed in the present case and the analysis of the cause-effect course made us to diagnose gastrointestinal syndrome, also referred to as Romheld's Syndrome.

Keywords: gastrocardiac syndrome, arrhythmia, gastroesophageal reflux, atrial fibrillation, Romheld syndrome