Anyone being treated for vagal atrial... - Atrial Fibrillati...
Anyone being treated for vagal atrial fibrillation? What medications are you using and are they effective?
G'day Cherjane,
I was originally diagnosed with paroxysmal AF which followed about 2 years of palpitations all of which originated through stress. However afterabout 12 months I found the onset of an AF event was attributable to digestive issues (vagal nerve). I stayed on the originally prescribed meds ( Bisoprolol and warfarin) and consulted a nutritionist for the digestive issues and the end result is I'm OK - not cured - but ok.
I have an arrhythmia which comes on straight away after eating, so assume that's vagal, but it's not AF apparently. I'm on Disopyramide which is the only one they've tried that works for me.
Koll
This is a confusing subject for sure. but the important thing is to understand that in order for you to have AF then your heart must have a pre-disposition to it. In other words there must be some latent chaotic pathways in your atria. Without them you can't have AF. The triggers then come into play and many patients discover that food and digestive problems can be a trigger. The vagus nerve is the main neural superhighway from brain to both heart and stomach so for some people there is interplay between the two. It is part of the autonomic system. It doesn't mean that the AF is Caused by the digestive issues merely triggered by them so controlling those issues can reduce the severity and frequency of events. Treatment doesn't change just because of the triggers any more than controlling the triggers "cures" the AF although as I said it can reduce the events. Patients with vagal AF often find that their events come on after or before food or at night when as an EP once stated " the vagal tone is low".
Bob
Sorry but causes and triggers. .same thing for someone wth AF. There are some drugs a Vagal Afibber should never be prescribed ie: BB's and Digoxin to name a couple. New research from reputable sources is emphatic re this. BBs in particular can cause ones AF TO BECOME CHRONIC.
Because my episodes come on at night and have had probs with bloating nausea etc prior to these I assume I have so called vagal AF. I am aware that people can also have "mixed" AF too. I'm sure I read somewhere that bisoprolol is not always ideal but Aussie John finds it ok and we are all very idiosyncratic in our response to AF drugs. I had to stop bisoprolol as before I reached an optimum dose my heart slowed too much. I am on Flecainide 100mg twice a day and warfarin of course being an old hag and it seems to suit me very well. maybe the odd bought of overwhelming fatigue for half an hour and have to sit down, but not very often. I know a lot of folk on here have found it didn't suit or didn't work but I am content. Best wishes WendyB
Hi,
Just another experience... I am vagal AF when I have my rapid AF episodes which last between 6-12 hours. I've stopped going to the ER (only went because the EPs wanted the ECGs) and sit it out at home. I usually get them at night, after eating, or if exhausted and get up too early. It can now come on without that situation though less often. The combination which works for my specific situation (we are all so different) is 25mg metoprolol and 100mg flecainide, still takes about 4 hours to cardioconvert but it works- for the moment! I don't take anything in between episodes, I use the "pill-in-the-pocket" method. We can only let you know what each of us has found works individually and might let you discuss options differently with your cardiologist. As Bob says, our triggers would not trigger the heart if there wasn't something electrically off already. Hope these answers help, take care.
How do you cope with your atrial fibrillation
Curious as to what medications y'all use
What do you know about the side effects from taking Sotalol?
