About 20 years ago I battled atrial ectopic beats and some afib. All the tests were negative so it remained a mystery. The one thing that made me unique was the fact that every time I swallowed, the normal rhythm was disturbed by pauses and ectopic beats. Occasionally this resulted in a bout of afib. Nobody had heard of the swallowing trigger. We found significant reflux on a barium swallow test. I was prescribed a Proton Pump Inhibitor that seems to have worked for the past 20 years. Sadly it came back with a vengeance this past week making it hard to eat. As long as I don't swallow I have no problem. It seems that the vagus nerve is affected by the reflux which then causes the atrial ectopic beats and pauses. I'm not sure what to do next. Up the PPI strength? Apparently they have long term health consequences. Has anybody heard of this issue?