Rare and unusual presentation of gastrocardiac syndrome.

Gastrointestinal pathology can cause cardiac symptoms and disorders. We present a case of a patient who had worsening of her palpitations with food intake. She was found to have a high burden of premature ventricular contractions in the setting of hiatal hernia and gastro-oesophageal reflux disease. After extensive investigations and ruling out cardiac causes, her arrhythmia resolved with the surgical correction of hiatal hernia. © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.