Vagal AF.

[benmaise]

Can someone explain Vagal AF, please? I don't know which one I have.

[doodle68]

Hi Ben, look here....

youtube.com/watch?v=ivof8UU...(Not working as expected?)

[Melbourne-Girl]

Hi benmeise

Your type of fibrillation is connected to the nerve which is associated to the heart and resting. For some reason every time I write the name of the nerve down my phone changes the name with predictive text.

It usually occurs during or after a meal or when you sit down after exercise. Your Dr may be able to give you some special manoeuvres to stop this happening or at least refer you to someone who can,

Best wishes always

M-G xx

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[Ppiman]

I’m not sure that there is an accepted scientific explanation. The theory I’ve read is that pressure on the vagal nerve can set off tachycardia. This can be brought about by a hiatus hernia or acid reflux.

Steve

[BobD Volunteer]

You have AF . How that happens is for the most part not relevant but generally speaking people who's AF is vagally medicated experience events after food or at night . It is only in the last ten or so years that the term has become generally accepted . AF is AF is AF but it must be noted that for some people who's AF is vagally medicated slowing the heart down with beta blockers may not be such a great idea.

[maxred1]

Bob could you expand on the theory please of slowing the heart down with BB when it may be linked to vagally medicated AF? I am unaware of this.

[jan-ran in reply to maxred1]

Hi, I agree with you Bob, beta blockers are a bit concerning. I have vagally mediated af, which has recently got much worse, with episodes coming almost every day rather than 3 or 4 times a month. Predominantly at night or after the evening meal. No idea why it’s increased in number. I know you might say it’s inevitable with af, but I’m unwilling to think about that...... yet. My gp’s first move was to increase bisoprolol to 5 mg, which didn’t suit me at all! So I went back to 2.5mg. The main thing that worries me was that my hr dropped to 42 at night. And I still got af. This has gone on since the beginning of December. A couple of days ago I took the law into my own hands and decided to increase flecainide 4 fold, to 100mg twice a day. (Previously 50mg once a day.) I’m trying to ask/inform my gp but I can’t even get a telephone consult till next week! So far, no af. I can’t believe it that simple. Marred, I’m sorry I butted in to your query to , Bob, I hope I may have said something relevant!

[jan-ran in reply to jan-ran]

Sorry, I meant “Maxred “, annoying predictive text!

[maxred1 in reply to jan-ran]

No problem and sorry to hear of your issues. I am very similar and have been working with GP to look at reducing/changing meds. All very difficult to know. I have now watched the video three times, in fairness when I posted my query to Bob I had missed the video. A bit clearer now.

[Belle11]

Some useful articles on vagal AF here, might help you decide. Some drugs work better than others with vagal, this consultant cardiologist says, as people on this thread have found.

richardbogle.com/blog/vagal...

afibbers.org/atrial_fibrill...

[Sunny-fl in reply to Belle11]

I had previously read those articles...very helpful.

[bennie06]

You may be interested in the folllowing;

doi.org/10.1093/eurheartj/e...

So if you have AF trigerred by the Vagus nerve it is unlikely to progress.

Good Luck.

[Andyt36]

Interesting survey

[Melbourne-Girl]

Hi Benmaise,

Let us know how you get on with finding the right Cardiologist/Neurologist for your vagal A.F.

Best wishes always

Suzee xxx

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