Vagus Nerve

[glosfrog]

Interesting article in The Mail today (pages 46/7) and about stress busting. No mention in relation to AF but nonetheless probably worth a read. the author seems to think 2018 will be all about the vagus nerve

[Hidden]

Thanks for that. V interesting. Still a massive distance to go though to really understanding this nerve. But, the journey of a 1000 miles starts with the first step.

[Jong1945]

The online link: dailymail.co.uk/femail/arti...

Hmmm. Vagal toning (if true! - this is the D.M. after all !) is all well and good for those not already vagally hypertonic like me. Dr Gupta's video at the link below is good for all things Vagal AF. youtube.com/watch?v=ivof8UU...(Not working as expected?)

[secondtry in reply to Jong1945]

Thanks for posting the Mail link, I think the Vagus Nerve is a key player for me and I need to do more homework.

[Kat612 in reply to Jong1945]

Thank you!

[drdang_20 in reply to Jong1945]

Best ever video shared . Very informative for non medicos..

Thanks alot.

I have been discussing with my treating doctor about the role of Betablockers in vagal AF. I am personally against it but the three specialists I consulted won't listen to me , on the other hand they increased the dose of Betablockers...The result is I am writing at 2.30 am. Scared to sleep.

[Jong1945 in reply to drdang_20]

A great journal article, (about ST-elevation in fact, but includes a superb summary of Vagal AF) is in Journal of AFIB's 2012 issue. ncbi.nlm.nih.gov/pmc/articl... This clearly states Beta-Blockers are contra-indicated (and suggests flecainide - which has QT-lengthenign properties which is why it's unsuitable for some).

Unfortunately your experience is only too common, and matches mine totally - even though vagal AF has made it into the American and European guidelines for dealing with AF (but, if you're in the UK, not NICE's - nice.org.uk/guidance/cg180/... (pdf) - not even under "research suggestions"! ).

As a general point, I have found over the years that doctors will listen if you keep "bothering" them - i.e. keep going back and saying "this drug is not suiting me / not working / too many side effects", so I would definitely suggest doing that anyway. Having said that, there are occasionally reasons why a beta blocker (at least in mild doses) might be prescribed for vagal fibbers. However, I have have never heard of an argument to say that where the contra-indication for VAF is part of the discussion. Be aware that Dr Gupta does on-line and telephone consultations - very reasonable. Might be worth going to his web site and booking a chat. He helped me a lot.

[drdang_20 in reply to Jong1945]

I agree with you. In VAF or in any AF, the importance of keeping your ventricular rate in check is very important. I think here comes the role of a Betablockers in AF.

[CDreamer]

I think it looks VERY interesting. I have been working with improving Vegal tone by various means for about a year but not seen this and am going to actively investigate.

[dedeottie]

Very very interesting. While I dont think my AF is vagally Induced i do have other problems that would be helped by this. X

[Hidden]

What an interesting article. I had vagal AF until my ablation. I liked to think it was because I was very fit. Now I know from the article it was because I have been an inveterate hummer for the past sixty years. 8 hours a day minimum now. Now that I have a much higher resting heart rate following the ablation, and having a spot of bother with atrial flutter, I will up the humming to 12 hours and save myself 149$.