Hi Dr. Gupta, I'm 77, live in America, have always been healthy, and I'm an active tennis player. In the last year , I noticed that, on occassion, when lunging for a ball and bending down to the right, it would trigger an episode of tachycardia (around 145-155 bpm) that would last for anywhere from a few minutes to half an hour. Years ago I was diagnosed with a small hiatus hernia and thought it may have gotten larger, triggered the vagus nerve, and that was the cause for the tachycardia. I have a lot of knowledge about medicine, having run a Pulmonary Lab for nearly 50 years. However, it wasn't until I listened to your simple, and wonderful, explanation of the relationship between the Vagus nerve and the heart that I felt I truly understood the various mechanisms that can trigger the episodes. I carry the Kardia heart monitor with me so I know it's tachycardia. Interestingly, lately, I've had periods of A-Fib (around 110 bpm), as well, that have lasted for 15 minutes and up to 2 hours. Rather than panicking and running to a cardiologist, I followed your advice and the episodes are nearly gone. I also teach pulmonary diagnostics at one of the medical schools, which makes me truly appreciate what you do with your You Tube sessions. You explain things simply, so that even a layman can understand them. In addition, it's obvious that you love what you do and genuinely care about people, in particular, your patients. You also help allay our fears that we're going to drop dead on the spot every time we feel the slighest change in our heart beats. I'm sure I speak for many when I say how grateful we are that you do what you do. I look forward to all your videos. Thank You !!
I just want to say that you have made my life so much better. I had my first AF episode 5 months ago and have been worrying ever since! But after watching your videos I now know I have all the symptoms of vagal AF. I’m 56 in really good shape, don’t smoke or drink alcohol and always busy. I’ve been watching your videos ever since my Af started trying to find out what could be causing it. Now I know I can adjust my life style to hopefully prevent these very uncomfortable episodes from becoming regular. From the bottom of my heart thank you. ❤
I was first diagnosed with AF in 2015 or 2016. The top specialist in London gave me a funny look when I said food was one of my triggers! I have since cut wayyy down on wheat and dairy (sensitive and causes much gas) and eating too late. I haven't been measured as being in AF since. There is hope. Thanks for this video.
You are describing my symptoms to a tee. Most of my a fib is in the evening and when I told my cardiologist that it happens frequently after a meal he acted like he had never heard of that.
I have that too, sometimes I wake up at 1or 2 in the morning sweating and having afib. I try to eat dinner early and don't eat anything after that, and that seems to help.
@@YorkCardiology Hi Doctor, I will Book in a Skype sesh I think as since Long Covid kicked in I’ve had Echos, CT a Zio patch, and Hospital Telemetry all relatively clear but this week Troponins are elevated albeit bang on the threshold but 3 days later they’ve raised again. This Vagal Afib sounds extremely congruent with my symptoms, barring the odd exercise related exertional onset.
You described my AF 100% exactly on point. My cardiologist hasn’t a clue about my AF and in fact I refuse to let him treat me anymore. He tried me on the channel blockers and beta blockers and things got worse as you said. Nothing my cardiologist has prescribed has helped me at all. Life style changes have almost eliminated my AF altogether. Magnesium helps me tremendously. And I recently switched to taking my BP medicine at night and that has helped tremendously, too. I can’t believe more cardiologists don’t know about this or consider vagal AF, but you are spot on with how my AF presents. I have learned more about my own AF from watching your videos than from my own cardiologist. And BTW, I’m a 68 year old female. Thank you so much for your videos.
I visited cardiologist 7-8 times and no diagnosis. Referring to tests he thinks my heart is in good condition,but i have heart arrhythmia every night after meal or when resting, of great intensity Hardly good sleep more than a year. My heart rate is around 60 or less.Makes me dizzy and anxious all the times. But when I'm active i always feel better. This video put all pieces together. What dr. said complete matches my situation. If i didn't hear this i would probably make wrong conclusion about my condition and take wrong steps. Great help. Thank you Dr. Gupta.
I usually have afib after a meal or at night. This am I woke up with it. I’ve seen your videos including this one about exercising to stop it so decided to give it a try and headed out with my dog. It’s hilly where I live and at first thought ‘this is a mistake’. I kept having to stop. But I kept going and after about 15 minutes my afib stopped!!!! Thank you for your videos. Have learned so much.
70 yrs old female battling afib which has gotten worse or more frequent in the past year and becomes quite debilitating. I now think I may have vagal afib. All your discussions are so refreshing and ten times more information than I have received from my cardiologist. Look forward to more of your series! God bless!
I get a-fib after eating late at night, and after lunch and supper sometimes as well. I have noticed it after heavy meals and greasy gassy type meals which makes my stomach bloat. It’s been happening every other day now and in the middle of the night… was sleeping on my stomach. ER Doctor looked perplexed when I mentioned it happens when I wear tight clothing and sometimes after eating! Usually going for a 30 minute walk will fix it… so glad I came across your video!
I stopped laying on my left side.... I now use several pillows & started laying on my back... this definitely helps...I think my AFib starts after eating spicy foods... you are amazing & we truly truly appreciate the time that you spend educating us....blessings to you!
I've noticed recent episodes were happening to me after eating spicy foods too, but I wasn't having symptoms right away. Maybe within eight hours, so it's tricky to decide what the triggers are
For some but not all. I love chilli and I'm fine. I drink one coffee a day and I'm fine. I had slept on my right side and finished up in Emergency. I have researched Spleen Qi Deficiency, it has helped Knowing this information.
I would just like to thank you so much for all your videos. To the layman AF, indeed anything to do with the heart is very frightening. So many health professionals just don't have the personal qualities you have. Your videos have helped me understand that there are so many factors that can cause the same effect so I am now able to ask questions to my cardiologist instead of taking their first diagnosis.....sometimes to their chagrin. Thanks once again.
Visited my GP today about unrelated issue. Discussed my PAF, which I have had for 18 years and which is being very well managed by my him and your colleagues in York. However it is 1st time I had ever heard of a vagal variation and he recommended I look up your Utube videos. Really glad I did they are extremely helpful and confidence building. Up until watching your introduction to Vagal AFib I felt my symptoms and triggers were a little peculiar. You described, so closely, my usual onset condition even to the extent of increased occurrence when settling down to sleep on my left side! I had started to think I was imagining this and it could not possibly have anything to do with increasing the likelihood of an episode. I am sure you already know this, but for me at least it is certainly true, getting to know and gaining an increased understanding of the problem as well as finding that you are not isolated in terms of symptoms is very therapeutic. I look forward to following your work and better understanding my condition in the future. Many thanks Bryan
why other cardiologists can't say that in those simple terms, it really shows your capability and understanding to be able to explain it in that simple clear way thanks ALOT!! I have seen 10 cardiologists so far none of them could explain why when am about to sleep or have a heavy meal get my Afib !! thanks again
What a fantastic, interesting, and informative video. I have diagnosed paroxysmal A-Fib, and I never heard of Vagal Afib until I saw this video, and it sounds exactly like the kind of Atrial Fibrillation I have. My resting heart rate is regularly in the low 50s or often into the high 40s, and I will occasionally have Afib incidents after drinking, even 1 drink of alcohol, or eating a large or spicy meal. Additionally, I noticed if I mix the two of them, or if I drink alcohol on days that I exercise I will have a higher chance of A-Fib. And they are almost always occurring in the middle of the night and last anywhere from 30 minutes to 3 or 4 hours. Additionally, I'll ALWAYS have atrial fibrillation the first and sometimes 2nd night when I go to the mountains on a snowboarding trip. Thanks so much Dr. Gupta. Information is power.
One sip of alcohol and my heart races. You may also like to investigate spleen qi deficiency. The spleen is also involved in vagal AF. I am doing my own research and have found the information helpful
Mr. Wagner, interesting my heart rate also behaves like yours. I had only 3 episodes of Afib in 2 years, however, this happened to me only at night during my sleep; with the only difference being that the first Afib was after having a few beers and lying down on my bed. Also, my heart rate in all of these episodes was between 55 and 70's. Not to mention that my heart sometimes beats too fast(over 130 or so just by walking) or too slow. So maybe I do have VAGAL AFIB....Even though I've never heard about it.
I have had 2 episodes of afib in the last 5 years and both times they followed a large, spicy meal. I have been getting PVC's for over 34 years prior to that and not one doctor ever admitted that there was any connection to the PVC's and food despite my insistence that there was. I actually had a few cardios get angry that I would even bring up the subject. Recently, I have found a great cardiologist who agrees there is a connection.
Hi Doctor Sanjay, you have described my Vagal Atrial fibrillation perfectly; first episode 3 years ago (50th birthday), and now they occur monthly on the full moon (for real)! I too, have found that sleeping on my left side is not good for V-A-fib. In addition to what you recommend, I would add that massaging the abdomen prior/during and after an A-Fib event really helps. When I do feel it coming on (I do feel these slight flutters. or wobbling of the heart beat), if I get up and move around, bringing my heart rate up (from low 50's to mid 60bpm - I ride bikes), that does bring my body out of the "slide" into A-Fib. If I wake up with A-Fib (which is what usually happens), the first thing I do is drink a lot of water and take a Magnesium/potassium pill. Next, I begin the abdomen massage where I start with light and gentle touches, progressing to a more deep tissue massage of the abdomen as it feels right to do. While I do this, I breathe, relax, and meditate on my heart beat returning to normal. I have found that this process reduces the intensity of the A-Fib event by 50% and reduces the duration from about 4 hours down to 2 hours. When I get up the next morning, I no longer feel tired from the A-Fib from the previous night. Recently, I have been experimenting with the "Accu Point Pressure Pen HK-01" (ruclips.net/video/cAKFfs_SEmY/видео.html), and this has helped too. Thanks again for confirming what I have been experiencing and providing new methods and ingestions to try. My A-Fib doctor does not understand this Vagal/A-Fib relationship at all. Your Vagal Afib video is invaluable! Thank you!!!!!
Thanks for sharing this information. I have AF since 2020. I am a healty male 57 years young 😊 I didn’t have the knowledge about vagas AFib since a saw this youtube video yesterday. I always knew/felt that my AF started somewhere from my stomage and not from the upper part (arround my heart) from my body. It always started with a feeling like bubbling in my stomach or belly And always in the evening mostly when i was laying down and more frequently when i was laying on my left site. Almost all times i eat to much or had consumed alcohol. Mostly by consuming red wine. Nobody including my doctor and cardioligist acknowledge this. Because of my inner feeling and insecurity i haven’t had a ablation done yet. Since today i am going to look up as much as i can about your information about this matter. Thank you so much ❤ I wish you kindly the best 🍀
This really hit the nail on the head! Thank you so much for your video. My husband and son (and late father in law) all have (had) afib and this is the first time we have heard the term vagal afib! We will follow you closely!
Thankyou so much for being you. I’m actually lost for words. At last I’m starting to understand my symptoms. I only ever have afib after eating not every meal but when tummy feels gassy and it always goes away when I go swimming or go on my exercise bike. But I need more help so will be booking an appointment with you. God bless and thankyou so much for all the help and advice you give. You really are quite incredible 🙏
Wow! You've shared information that answers a lot of questions for me. I have a hiatus hernia, and also sensitive vagus issues (heart stopped once during a medical procedure, and once during hysterectomy). Thank you for being so willing to share your knowledge.
Thank you so much Dr, so much of what you described is the same as what I am experiencing. People like yourself offering your experience for free gives me so much faith in the world. Thank you.
I was diagnosed with Proximal AF a few years ago and you have just described all my triggers. You have also confirmed that the drug regime recommended by my own cardiologist matches the treatment recommended for Vagal AF. Thank you for helping put my mind at rest and giving me some more ideas to reduce/stop any future attacks.
Thank you! Your balance of technical details with common simple explanation is perfect. I really appreciate you and your videos. God bless you and your work.
I have seen so many doctors over 45 years. Been saying the same thing to all of them Not one has understood. You have it just the way I feel. I guess I will take this vid to the dr and make them watch. Thank you sir. Wish you lived in Indiana
Thank you for your incredible and well explained information. You are a Godsend and a huge gift to humanity. Highly recommending your videos. Awesome selfless gift.
Thank you so much for all of the great information that helps us who are struggling with chronic and debilitating health issues, get sorted out and get our lives back. I agree that lying on the left side causes immediate and intense A-Fib. Right can be a problem, too, but doesn't feel crisis-level like the left. Lying on my back, with my head and shoulders elevated seems to be the best way to avoid this. It also stabilizes the joints for those of us with Elhers Danlos.
Thank you Dr. Gupta for this video. I have lone AFib. Mine is vagal. I was diagnosed at the age of 34 after ingesting an ice-cold beverage. I didn't have any episodes for about 15 years, but now they've started occurring more frequently, usually at night when I wake up to use the toilet but also if I ingest cold foods/beverages or cough hard. I have been reading a lot of studies and papers, and I learned something I thought I would share here as you did not mention it. Research suggests that childhood trauma may be linked to an increased risk of developing vagally-mediated atrial fibrillation (AFib) later in life. Adverse childhood experiences (ACEs) can affect the development of the autonomic nervous system, including the vagus nerve, which plays a crucial role in regulating heart rate and rhythm. Studies have shown that individuals who experienced childhood trauma may have altered autonomic function, including increased sympathetic activity and decreased parasympathetic (vagal) tone, which can contribute to the development of AFib. Additionally, childhood trauma has been linked to inflammation, oxidative stress, and epigenetic changes, which may also contribute to the development of AFib. I think baseline bradycardia has something to do with it as well. Like athletes, my resting heart rate has always been very low (upper 40's), but I am not an athlete. I read a study published in March of this year which showed that children with more violence exposure reported increased post-traumatic stress symptoms as well as lower resting HR. The effect was more pronounced in girls than it was in boys. I think that being female and having a low resting heart rate as well as complex PTSD due to my adverse childhood experiences could explain my vagal AFib, as well as a likely inherited component. My sister has supraventricular tachycardia.
Wow! Thank you for sharing this information. I have a low resting heart rate also (mid-upper 40's) low blood pressure, and a VERY DYSFUNCTIONAL/ABUSIVE family growing up. I wonder if my afib is vagal?
I can't thank you enough for the information you give. It really helps me understand and feel better about my afib. I learn more from your videos then I do speaking to the several cardiologist I have seen as when I try to explain my symptoms to them they seem to not really understand and too quick to convince me on getting a ablation. Thank you.
THIS! Thank you so much! Exactly what I’m dealing with! Been a bit frustrating talking with my heart doctor describing my symptoms. Now I can go back and discuss what is actually going on with me. Great Video!
Thank you for this very informative video. I had superventricular tachycardia with a pulse of 225 per minute during a time when I was extremely anemic. Adenosine IV by paramedics carioverted me back to a normal sinus rhythm. Now wearing a ZioPatch monitor and then will see a cardiologist electrophysiologist. I always thought I have had atrial fibrillation. But then I have always felt I had a sensitive vagus nerve response to pain. I faint easily. My pulse tend to run slow too. I will ask about vagal atrial fibrillation. My grandmother suffered from atrial fib. The heart is a complex electrical muscle! Love your videos!
This is absolutely fascinating and I continue to be amazed at your passion and knowledge on this subject! After getting episodes once every 4-8 months over the past 10+ years(currently 39), I finally got on on ECG on Monday - Atrial flutter. All of my 'episodes' have have happened either while bending over or which on the toilet (not shy about it! :) ). I also experienced one when I jumped out of my car into really cold weather. I also get ectopic beats most frequently at night while slouching on the couch or after eating beans or spicy food... sometimes while drinking cold liquid. All of this makes me convinced - perhaps wrongly so - that these are triggered by increased vagal tone which slows the heart and then activates the arrhythmia. Most commonly at an onset of an episode I experience very irregular beats for 5-10 seconds (which REALLY freaks me out) and then my heart takes off into a rapid rhythm... have counted it at 160 twice recently and in the ER it was sustained at 147, sometimes up to 150. SO... the only difference in what you are saying here is that every single episode I have had has happened in the day time - except for this last one which happened at night AND my heart rate does go very fast. Vagal Maneuvers worked in past as does changing positions especially laying onto right side or lifting left arm up. This last time however it lasted 1 hr 45 minutes - they gave me 12 mg of adenosine and it did not convert... 15 min later just before they were going to give me a beta-blocker it converted when I sat up. Who knows... perhaps this one was A-Flutter and all the rest were a more common/classic SVT. I am going to make an appointment for online consultation with you... these episodes are terrifying but even more terrifying to me is being in the ER without a cardiologist present and them not being sure of the rhythm and going for adenosine and other drugs that I fear could cause more problems... this is why I need to be prepared and with a plan! Thank you so much for helping us
Hi Gregory, this is a year later. My conditions are similar: episodes suddenly became more frequent, triggered by a sudden blast of cold air, slouching on the couch or after eating, drinking cold milk, initiated by irregular beats for 5-10 seconds. Have you seen any improvement?
Exactly the same happen to me if I drink or eat : , alcohol, coffee, chocolate, vanilla extract, garlic. Ive been 18 years without drinking a cup of coffee, coca cola beer, nor a Hershey bar
Oh my god, this video is so accurate, it scares me. I'am 26 years old, 75kg on 177cm, never smoked, no drinking, no drugs, no diabetes. In March I woke up with afib for the first time in my life, went to the ER and got e.cardioversed into sinus again. 4 Weeks ago I got a pulmonary vein isolation, now waiting for the end of the blanking period. However I noticed extreme heart skips and flutters when laying on my LEFT side, no doctor believed me. Now I get heartskips when eating heavy meals....like a footlong sandwich or a full sized kebab :D Now I have to take betablockers and edoxaban every day. I believe those make my symptoms worse... My heart itself is in an awesome shape. No structual deseases, perfect bloodpressure. It feels like my body is betraying me after preventing all these bad lifestyle habbits :( Other people party like armageddon is aproaching and I have to watch every step in my doings. Life isn't fair.
I feel your frustration friend. How are you doing now? I was prescribed beta blockers recently, but have yet to take one as I'm not warming up to the idea of consuming something that is going to slow my system down.
please look at my post, try to research Atlas misalignment. your neck could be putting pressure on the vagus nerve. i'm only saying that because i had similar things happening to me . nothing to lose.
Another spot on video on trying to explain what a mongrel condition AF is. Mine was usually triggered bending down playing golf and now can control it much more effectively taking magnesium supplement as suggested along with other heart healthy electrolytes found in pumpkin seeds, cocoa powder etc. Thank you from the top of my heart 😊
DOCTOR YOU ARE WONDERFUL ! YOU REALLY HELP US LEARN WHAT IS GOING ON ! YOU ARE A BLESSING AND I AM BLESSED TO HAVE SEEN YOUR VIDEO HERE , YOU ARE HELPING US ALL LEARN HOW TO HEAL OUR AF ! BLESS YOU , YOU ARE AN ANGEL !
Dr.Sangay Gupta thanks for all the Infos for my older patients and I really appreciate your "new holistic model" of helping as a super professional modern Cardiologist attacking any heart problems big or small from all the possible angles available in 21.century cardiology. 🙏
Thank you! I'm 52 yrs old, up until a year ago was an extreme athlete. First noticed very slow heart during sleep/waking around that time. I have excellent blood pressure, slender, supplement, lots of attention on nutrition, etc. So the first time I slid into AF during day was scary! Back to normal in 4 hours. Had 3-4 episodes since March. So I am very interested in this! Thank you so much! Reading comments in this vid was SO helpful! thanks guys!
Dr...I can not Thank you enough! Back in Sept I had Kidney Stones, the pain was unbearable, after this I started having constant Heart Palpitations, usually along with constant gas/belching, I then noticed issues with going to the bathroom, both 1and2 would cause heart skipping and my bowl movements would make you think I had a blockage. I have been stressed from this for Months, it has taken its toll both Mentally and Physically. Thank you and many Blessings for this!
Brilliant, you covered all the problems and potential problems, except acid reflux, although you did say avoid certain foods , over eating, excess everything really AND bending down / over, which forces acid up into the Asophacus and upper stomach, where, I'm guessing, the Vergal nerve is . I remember coming home from hospital after my first ablation, ( the heart guy who did the ablation told me to throw away all my drugs, so certain was he that he had done a good job. back home i dropped a fork on the floor, bent down to pick it up, and off went my Afib again. It lasted all night , and,---back in A&E next day, same guy was hauled in to deal with me ( with drugs ) Thank God for Pacemaker's.
you described my problem and to a high degree of accuracy. i just got released from a hospital where the only thing they had for me is antiarrhythmic meds, i refused them because i did not feel that they found the real issue with me that also included breathing and stomach along with heart. i started looking into the nerves and found evidence that compressed nerves in the neck can cause lots of what i was having. after i started addressing that the symptoms are going away. please look into the effects of misaligned spine the same symptoms you are describing. now i have to go and watch all your material and learn as much as i can. thank you so much. edit: i'm also taking Magnesium Orotate 40 mg and Magnesium Taurate 200 mg. found them both to help the most.
Are you seeing a chiropractor? And is your Afib controlled with your treatments? thank you...trying to find anything to hekp me that isn't a drug or ablation,
@@Savannah-ed4rv chiropractors are okay but I found out the technique of osteopath is so much better. However after a few years of doing this I realized that you only let them guide you to what you need to do, you need to start yoga and to become active flexibility and stretching are extremely important to maintain good alignment which would help your nervous system. Also have some blood test done and check the balance of magnesium calcium and potassium and so on. Have a professional advice on that I heard good things about ablation it would be my number two choice . My last choice would be drugs.
@@allthesame3856 thanks for responding. Are you talking about OMT from an osteopath? I've had that many times and have thought about asking a doctor to try it for my Afib. My previous doctor has retired so it may be a challenge finding someone. I've never been to a chiropractor and they do frighten me a little :) Are you doing better with your treatment regimen? I hope so!
@@Savannah-ed4rv yes I'm responding well to simple things, I see an osteopath to correct my posture and improve my alignment. It's the best way to correct my pressed nerves in my neck. I also take magnesium which helps with my heart a lot and I became more active and I do beginners yoga which is very very helpful with everything. If I can help at all I would be very happy.
@@allthesame3856 That's awesome, and I'm encouraged to find another osteopath. I have had problems taking magnesium, but I try to eat a healthy diet. Thanks for inspiring me to try what I considered a few weeks ago! I appreciate your offer and I'll be in touch if I run into any questions!
I have been expereincing AF for sometime now - and recognised there was a connection to my digestion - as I would sit & burp & burp ... I had wondered what the connection was to my Heart AF & Digestive Tract - makes so much sense - thank you so much for sharing .... Bless you
Dr Gupta, thank you for the clarity in describing vagal AFib which is my recent diagnosis (paroxysmal). I am 72 years old and have been bradycardic from years of being athletic from playing basketball, tennis and golf (I walk the course), and jogging. The symptoms you described are spot on and I now have a clear understanding of my condition. Initially a year ago my heart rates during AFibs ranged between 130 - 160; it’s been averaging in the 80s in the start of 2024. I will ask my cardiologist about my current prescription for Diltiazem. I had the Watchman implanted three months ago and was told that an ablation is not recommended earlier than one year after the procedure.
Thank you, thank you! I think you may have solved some of my enigma about why my current AF treatments are just not working for me. I have been asking re the sleeping on left side, which sets off the AF, & other things you mention for months but just get ignored. I have an appointment this week for a second opinion & now I know what to ask! Wonderful.
Man i’ve been dealing with afib for about 3 years now.42 year old male it seemed like my afib triggered when I was laying in bed or on the couch. Only thing that would take me out of my events was power walking for 20 minutes. I’ve mentioned this to my ep and he was like that doesn’t matter.Beta blockers also make me very sick but I was taken off flecanide and put on sotalol and my attacks came back.Normally in afib my pulse is under a 100 and i’m never in afib while lifting weights or exercising. I’m fairly confident this is what I have and it’s very sad it took a youtube video to help me find out. Thank you for your amazing videos
Wow, This could be it! I have spoken to you several times by phone and unfortunately nothing so far has improved my condition. But this video makes alot of sense to me and you talk about alot of symptoms that are happening to ME. ie nigh-time palpitations when resting,raising your pillows and how beta blockers don't work etc etc.. I think its amazing that no doctors or cardiologists I have spoken to have ever mentioned VAF, I am 2 years into this condition having had extensive (and costly) medical procedures and medications, this video could be a game changer for me...thank you doc !
This has been so helpful!!!! I am woken from of a sound sleep and the Afib that lasts for at least 4 hours of exhausting pounding, racing, and thumping :( This information describes my symptoms exactly. I have been on Metoprolol for a few years now and will talk to my cardiologist as soon as possible to discuss changing my medication. With lots of pillows I hope to start being able to sleep without being ambushed by my heart! Thank you so much Dr. Gupta!
Thank you so much for your comment and for watching the video. Please join me for live free chats on my Facebook page (type yorkcardiology@gmail.com in Facebook search) - I will be able to answer your questions there
Thanks a million ,great straight talk and knowledge ,,wish there were guys like you in Ireland they tell me nothing and out the door so frustrating . i walk out as wise as i walked in,just as scared .
I can relate so much to this video I get SOB after a meal when bloated or when sitting at my desk and I feel better when I am physically active. As always thank you so so much SG !
Excellent video. I had my first afib at 19, then nothing for 10 years and it happened again, then after another 10 years and it happened but this time is it did not go away and kept coming back. I have been on Flecainide and Cardizem for the last 15 years and it seems that every year I have a bout for about 1 week or two where it comes back and the meds don't seem to help. I have mentioned that laying on my left triggered it at times as did things like a cough or stomach bloating but my doctors have usually dismissed this. One time I laid flat on my back and the rhythm was normal, I would rotate to the left and it would go out, roll back and it was fine, roll onto the left again and it kicked out...my wife witnessed it. I appreciate your videos. They don't prove I'm not crazy but maybe in this one issue I'm not.
Thank you very much, Dr. Gupta, for these insights, even though they have complicated things for me. I am male 74 in USA and my paroxysmal AFib seems to fit the vagal description, but if there is a generally accepted age cutoff, I don't expect a sympathetic reaction from my cardiologist. I am taking an anticoagulant and metoprolol as a result of A flutter and ablation 4 years ago, so the identification of the type of Afib seems important. I was hoping for maybe a quick ablation and getting on with things, but waiting 15 years until it gets very bad, well....that's just not too palatable. Will be watching your other recent videos on this. You seem a bit tired; please take care.
Thats so wonderful to hear. Please do go ahead if it would be useful and someone may benefit. Thanks for supporting our channel. It would mean a tonne if you'd consider subscribing:-)
Today I have uploaded video lectures on VAGAL AF . I have used materials from your video and I have mentioned your name in my video lectures. Thank you very much for your permission.
Exactly. Eating at night, even a light dinner will start mine. I find getting in my recliner in a supine position and humming like a bee while taking breaths through my nose stops it in it's tracks. Yes, Magnesium too! Thank you for your comforting chats and expert knowledge.
Thank you for this video on Vagal AF. I'm not sure if it describes my. situation exactly. I will, however, ask an electrophysiologist tomorrow. Thanks to you for giving me some of the information I need in order to ask the right questions.
Thank you, great simple explanations. I have had an ablation for AF, 5 years ago, and have recently had some suspect palpatations, your explanations quite helpful in describing what could have lead up to these .thank you.
Thank you so much for this video. Your explanation was extremely clear and easy to understand. You also made me feel so much better as I have been experiencing the symptoms you described. I had noticed a correlation between laying on my left side, drinking cold water and eating spicy food or heavy meals as a contributory factor. It must be misunderstood in the medical community since I’ve mentioned this to my doctor and he didn’t see a correlation. So this information really helped me understand much better.
I self diagnosed this syndrome in myself after 2 hospitalizations. I really appreciate the tips for coping with it. I intuited most of them like meals and abdominal contraction. Many of my episodes have brief prodromal warning that I've learned to seek simethicone water and get on the floor. The anxiety that accompanied the events was awful. I had to give up lifting weights because it was triggered almost every time.
Hi Dr. Gupta. This video has been very informative for me. I'm a 32 yo IgA nephropathy patient. I took a course of prednisone for 7 months 3 years ago when diagnosed to stop progression. I had swallowing induced afib 3 years ago, but I had concurrent subclinical hyperthyroidism. All symptoms resolved and I thought nothing more of it. Then the last year, I started to have diarrhea within 15 minutes of eating, and within the last three weeks, swallowing induced heart palpitations and dizziness have returned. My internal med doc and my cardiologist are making me feel like I made this up. I finally convinced them to observe it on EKG while I swallowed crackers and water. I have felt like crap every since I took prednisone and have not felt energetic or the same. The first time I had this I was normal weight, no sleep apnea, and was on a PPI due to acid reflux with prednisone. Now I am 65lbs heavier with sleep apnea (I use a CPAP), no PPIs or acid reflux anymore. I am in the group of people that this AF is getting worse. I get it all the time when swallowing and it's getting more painful and uncomfortable. I get it also when swallowing water or burping after eating. I obviously can't stop eating. My physician has ordered an echocardiogram next. What else can I research? I'm a PhD student in pharmaceutical health services research. I tend to feel more comfortable when I can research this. I have found a handful of case reports of this. Metopralol has been prescribed, but I did not tolerate it last time because I take an ace inhibitor for my renal disease to begin with. I should also mention 3 years ago I had halter monitor and esophagram done. The esophagram was normal and I was told the halter monitor showed rapid heart beats (260bpm) coming from the upper chamber. The EKG this time my physician said showed afib. And I am HLA-B27 positive. Yeah, I have been worked up for all kinds of things over the years. The renal disease was right in our faces the whole time and I just feel like I have underlying systemic inflammation. I can't take ibuprofen, obviously. And I have developed severe joint and muscle pain and weakness in the last year. I have been an athlete my whole life and was a half and full marathon runner up until 3 years ago after prednisone. I have had 3 orthopedic surgeries (2 ACL reconstructions after downhill skiing falls and 1 intramuscular hemangioma resection) over the last 2 years.
I’m almost positive I have Vagal AF. I have 0 on the chads score. Mine tends to be at night. Usually a startling event such as alarm etc. seems the movement of getting up especially when constricting the midsection seems to cause it. I’ve even bent down quickly while playing and have had it start. Doing push ups and holding my breath can start it. My Docs have said my heart is fine and I’m mid 30s. Have had it since late 20s. Anxiety as well seems to play a part. The pills they give me for when it happens drops my BP so much I pass out and have shock symptoms. I also get flutter from gerd I believe. I feel it and I’ll sit up or stand and burp making it go away. I appreciate the work you do.
I was recently diagnosed with AFIB. I am 22 years old and I've had every doctor and EMS worker tell me I'm the youngest they seen with it. My worst Afib attack was after I ate a big meal that had a bit too much sodium and salt. I get alot of 'fight or flight' sensations with my flutters when I have them they immediately make me anxious. my cardiologist hasn't given me really any information except diagnosing me with it. Thank you so so much for these videos. They have even really eye opening!
I have been weight lifting since age 16 and won my first bodybuilding contest at age 18 Mr Teenage Orange County Muscle Classic in California, and I have extreme vagal AF and that is what I was first diagnosed as, then as time went on they said i was paroxysmal atrial fibrillation. I have been on so many meds none of then really work. I go workout hard, and i fee great, then that night or next day when I am all sore, and inflammation is high and vagal tone is high, I flip into a-fib just like you say, EVERYTHING YOU SAY IS CORRECT, wow I am amazed after all these years finally hearing this. My cardiologist has me on sotolol a very high mg twice a day, and it has caused me to get stuck in a-fib and have a weak heart beat and develop slight CHF my BPN was 350 and i was showing some edema so they gave me spironolactone and lasix low mg but it works good. But come to find out like you say BB may not be the best choice for me at all, and when I am in A-fib i lose 15% off the top then all the meds slow my function, so when i got stuck in a-fib for 3 days one time thats when i showed some swelling. One Echo showed 40% ejection, and the other when i was out of a-fib on a different med a year earlier showed normal function. Well this is great info, I want to try quinidine ,,, i also want to try Tikosyn ,,what one would you recommend me try THANK YOU SO MUCH musclememory.com/show.php?s=REGINALD+PALMER&g=M
Hi Dr. Gupta, I'm 77, live in America, have always been healthy, and I'm an active tennis player. In the last year , I noticed that, on occassion, when lunging for a ball and bending down to the right, it would trigger an episode of tachycardia (around 145-155 bpm) that would last for anywhere from a few minutes to half an hour. Years ago I was diagnosed with a small hiatus hernia and thought it may have gotten larger, triggered the vagus nerve, and that was the cause for the tachycardia. I have a lot of knowledge about medicine, having run a Pulmonary Lab for nearly 50 years.
However, it wasn't until I listened to your simple, and wonderful, explanation of the relationship between the Vagus nerve and the heart that I felt I truly understood the various mechanisms that can trigger the episodes. I carry the Kardia heart monitor with me so I know it's tachycardia. Interestingly, lately, I've had periods of A-Fib (around 110 bpm), as well, that have lasted for 15 minutes and up to 2 hours. Rather than panicking and running to a cardiologist, I followed your advice and the episodes are nearly gone.
I also teach pulmonary diagnostics at one of the medical schools, which makes me truly appreciate what you do with your You Tube sessions. You explain things simply, so that even a layman can understand them. In addition, it's obvious that you love what you do and genuinely care about people, in particular, your patients. You also help allay our fears that we're going to drop dead on the spot every time we feel the slighest change in our heart beats.
I'm sure I speak for many when I say how grateful we are that you do what you do. I look forward to all your videos.
Thank You !!
I just want to say that you have made my life so much better.
I had my first AF episode 5 months ago and have been worrying ever since! But after watching your videos I now know I have all the symptoms of vagal AF. I’m 56 in really good shape, don’t smoke or drink alcohol and always busy. I’ve been watching your videos ever since my Af started trying to find out what could be causing it. Now I know I can adjust my life style to hopefully prevent these very uncomfortable episodes from becoming regular. From the bottom of my heart thank you. ❤
I was first diagnosed with AF in 2015 or 2016. The top specialist in London gave me a funny look when I said food was one of my triggers! I have since cut wayyy down on wheat and dairy (sensitive and causes much gas) and eating too late. I haven't been measured as being in AF since. There is hope. Thanks for this video.
You are describing my symptoms to a tee. Most of my a fib is in the evening and when I told my cardiologist that it happens frequently after a meal he acted like he had never heard of that.
I have that too, sometimes I wake up at 1or 2 in the morning sweating and having afib. I try to eat dinner early and don't eat anything after that, and that seems to help.
Yes most drs don't realise this link of vagal tone Nd A fibs@@josephloboccetta
You are a godsend.
thank you!
York Cardiology you relly are the best cardiologest i have ever herd
@@YorkCardiology Hi Doctor, I will
Book in a Skype sesh I think as since Long Covid kicked in I’ve had Echos, CT a Zio patch, and Hospital Telemetry all relatively clear but this week Troponins are elevated albeit bang on the threshold but 3 days later they’ve raised again.
This Vagal Afib sounds extremely congruent with my symptoms, barring the odd exercise related exertional onset.
I agree!
You described my AF 100% exactly on point. My cardiologist hasn’t a clue about my AF and in fact I refuse to let him treat me anymore. He tried me on the channel blockers and beta blockers and things got worse as you said. Nothing my cardiologist has prescribed has helped me at all. Life style changes have almost eliminated my AF altogether. Magnesium helps me tremendously. And I recently switched to taking my BP medicine at night and that has helped tremendously, too. I can’t believe more cardiologists don’t know about this or consider vagal AF, but you are spot on with how my AF presents. I have learned more about my own AF from watching your videos than from my own cardiologist. And BTW, I’m a 68 year old female. Thank you so much for your videos.
Appreciate appreciate appreciate. The clarity, the simplicity, the common sense, the enlightenment!
I visited cardiologist 7-8 times and no diagnosis. Referring to tests he thinks my heart is in good condition,but i have heart arrhythmia every night after meal or when resting, of great intensity Hardly good sleep more than a year. My heart rate is around 60 or less.Makes me dizzy and anxious all the times. But when I'm active i always feel better. This video put all pieces together. What dr. said complete matches my situation.
If i didn't hear this i would probably make wrong conclusion about my condition and take wrong steps.
Great help. Thank you Dr. Gupta.
I usually have afib after a meal or at night. This am I woke up with it. I’ve seen your videos including this one about exercising to stop it so decided to give it a try and headed out with my dog. It’s hilly where I live and at first thought ‘this is a mistake’. I kept having to stop. But I kept going and after about 15 minutes my afib stopped!!!! Thank you for your videos. Have learned so much.
70 yrs old female battling afib which has gotten worse or more frequent in the past year and becomes quite debilitating. I now think I may have vagal afib. All your discussions are so refreshing and ten times more information than I have received from my cardiologist. Look forward to more of your series! God bless!
You are such a kind person!
Thank you for sharing your knowledge with us!
I get a-fib after eating late at night, and after lunch and supper sometimes as well. I have noticed it after heavy meals and greasy gassy type meals which makes my stomach bloat. It’s been happening every other day now and in the middle of the night… was sleeping on my stomach. ER Doctor looked perplexed when I mentioned it happens when I wear tight clothing and sometimes after eating!
Usually going for a 30 minute walk will fix it… so glad I came across your video!
Newly diagnosed with AF. These videos are fantastic. Thanks so much for doing them.
I stopped laying on my left side.... I now use several pillows & started laying on my back... this definitely helps...I think my AFib starts after eating spicy foods... you are amazing & we truly truly appreciate the time that you spend educating us....blessings to you!
I've noticed recent episodes were happening to me after eating spicy foods too, but I wasn't having symptoms right away. Maybe within eight hours, so it's tricky to decide what the triggers are
For some but not all. I love chilli and I'm fine. I drink one coffee a day and I'm fine. I had slept on my right side and finished up in Emergency. I have researched Spleen Qi Deficiency, it has helped Knowing this information.
I would just like to thank you so much for all your videos. To the layman AF, indeed anything to do with the heart is very frightening. So many health professionals just don't have the personal qualities you have. Your videos have helped me understand that there are so many factors that can cause the same effect so I am now able to ask questions to my cardiologist instead of taking their first diagnosis.....sometimes to their chagrin. Thanks once again.
Visited my GP today about unrelated issue. Discussed my PAF, which I have had for 18 years and which is being very well managed by my him and your colleagues in York. However it is 1st time I had ever heard of a vagal variation and he recommended I look up your Utube videos. Really glad I did they are extremely helpful and confidence building. Up until watching your introduction to Vagal AFib I felt my symptoms and triggers were a little peculiar. You described, so closely, my usual onset condition even to the extent of increased occurrence when settling down to sleep on my left side! I had started to think I was imagining this and it could not possibly have anything to do with increasing the likelihood of an episode. I am sure you already know this, but for me at least it is certainly true, getting to know and gaining an increased understanding of the problem as well as finding that you are not isolated in terms of symptoms is very therapeutic. I look forward to following your work and better understanding my condition in the future. Many thanks Bryan
why other cardiologists can't say that in those simple terms, it really shows your capability and understanding to be able to explain it in that simple clear way thanks ALOT!! I have seen 10 cardiologists so far none of them could explain why when am about to sleep or have a heavy meal get my Afib !! thanks again
You are truly a blessing!!!
What a fantastic, interesting, and informative video. I have diagnosed paroxysmal A-Fib, and I never heard of Vagal Afib until I saw this video, and it sounds exactly like the kind of Atrial Fibrillation I have. My resting heart rate is regularly in the low 50s or often into the high 40s, and I will occasionally have Afib incidents after drinking, even 1 drink of alcohol, or eating a large or spicy meal. Additionally, I noticed if I mix the two of them, or if I drink alcohol on days that I exercise I will have a higher chance of A-Fib. And they are almost always occurring in the middle of the night and last anywhere from 30 minutes to 3 or 4 hours. Additionally, I'll ALWAYS have atrial fibrillation the first and sometimes 2nd night when I go to the mountains on a snowboarding trip. Thanks so much Dr. Gupta. Information is power.
One sip of alcohol and my heart races. You may also like to investigate spleen qi deficiency. The spleen is also involved in vagal AF. I am doing my own research and have found the information helpful
Mr. Wagner, interesting my heart rate also behaves like yours. I had only 3 episodes of Afib in 2 years, however, this happened to me only at night during my sleep; with the only difference being that the first Afib was after having a few beers and lying down on my bed. Also, my heart rate in all of these episodes was between 55 and 70's. Not to mention that my heart sometimes beats too fast(over 130 or so just by walking) or too slow. So maybe I do have VAGAL AFIB....Even though I've never heard about it.
I have had 2 episodes of afib in the last 5 years and both times they followed a large, spicy meal.
I have been getting PVC's for over 34 years prior to that and not one doctor ever admitted that there was any connection to the PVC's and food despite my insistence that there was.
I actually had a few cardios get angry that I would even bring up the subject.
Recently, I have found a great cardiologist who agrees there is a connection.
Yes this happens after I've eaten something that I guess doesn't agree with me and I've had a few drinks
And how many days it last? Thank you
When I had my worst afib attack I was drinking I was shit face. And eating Christmas cookies
I'm allergic to chilly powder, my heart race, short of breath, chest discomfort. It dose the same from cut grass.
Hi Doctor Sanjay, you have described my Vagal Atrial fibrillation perfectly; first episode 3 years ago (50th birthday), and now they occur monthly on the full moon (for real)! I too, have found that sleeping on my left side is not good for V-A-fib. In addition to what you recommend, I would add that massaging the abdomen prior/during and after an A-Fib event really helps.
When I do feel it coming on (I do feel these slight flutters. or wobbling of the heart beat), if I get up and move around, bringing my heart rate up (from low 50's to mid 60bpm - I ride bikes), that does bring my body out of the "slide" into A-Fib. If I wake up with A-Fib (which is what usually happens), the first thing I do is drink a lot of water and take a Magnesium/potassium pill. Next, I begin the abdomen massage where I start with light and gentle touches, progressing to a more deep tissue massage of the abdomen as it feels right to do. While I do this, I breathe, relax, and meditate on my heart beat returning to normal.
I have found that this process reduces the intensity of the A-Fib event by 50% and reduces the duration from about 4 hours down to 2 hours. When I get up the next morning, I no longer feel tired from the A-Fib from the previous night. Recently, I have been experimenting with the "Accu Point Pressure Pen HK-01" (ruclips.net/video/cAKFfs_SEmY/видео.html), and this has helped too.
Thanks again for confirming what I have been experiencing and providing new methods and ingestions to try. My A-Fib doctor does not understand this Vagal/A-Fib relationship at all. Your Vagal Afib video is invaluable! Thank you!!!!!
Thanks for your detailed comment! I plan to try your techniques next time I have an episode. Though I hope I never have another one!
Thank you so much
Very valuable advice. Thanks so much!
Thanks for sharing this information.
I have AF since 2020. I am a healty male 57 years young 😊
I didn’t have the knowledge about vagas AFib since a saw this youtube video yesterday.
I always knew/felt that my AF started somewhere from my stomage and not
from the upper part (arround my heart) from my body.
It always started with a feeling like bubbling in my stomach or belly
And always in the evening mostly when i was laying down and more frequently
when i was laying on my left site. Almost all times i eat to much or had consumed alcohol.
Mostly by consuming red wine.
Nobody including my doctor and cardioligist acknowledge this.
Because of my inner feeling and insecurity i haven’t had a ablation done yet.
Since today i am going to look up as much as i can about your information about this matter.
Thank you so much ❤
I wish you kindly the best 🍀
We physicians are getting lots of knowledge from your videos thanks for sharing the knowledgeable videos
Thank you for dedicating your life helping patient have quality of life.
This really hit the nail on the head! Thank you so much for your video. My husband and son (and late father in law) all have (had) afib and this is the first time we have heard the term vagal afib! We will follow you closely!
Thankyou so much for being you. I’m actually lost for words. At last I’m starting to understand my symptoms. I only ever have afib after eating not every meal but when tummy feels gassy and it always goes away when I go swimming or go on my exercise bike. But I need more help so will be booking an appointment with you. God bless and thankyou so much for all the help and advice you give. You really are quite incredible 🙏
Thank you.under Sadi government these videos has facilitated a tremendous decrease in my anxiety. I will be in contact soon. Have a good day.
Wow! That's my AF/flutter. Some I experienced but lots of new, good and helpful information. Now I understand it much better.
Wow! You've shared information that answers a lot of questions for me. I have a hiatus hernia, and also sensitive vagus issues (heart stopped once during a medical procedure, and once during hysterectomy). Thank you for being so willing to share your knowledge.
Thank you so much Dr, so much of what you described is the same as what I am experiencing. People like yourself offering your experience for free gives me so much faith in the world. Thank you.
Your videos help me so much..thank you for taking time to talk to us about heart issues..it is a relief to have understanding.
I was diagnosed with Proximal AF a few years ago and you have just described all my triggers. You have also confirmed that the drug regime recommended by my own cardiologist matches the treatment recommended for Vagal AF. Thank you for helping put my mind at rest and giving me some more ideas to reduce/stop any future attacks.
Its paroxysmal, not proximal.
I so appreciate your videos. Thank you for all the AF information. I wish my physician watched them!
Thank you! Your balance of technical details with common simple explanation is perfect. I really appreciate you and your videos. God bless you and your work.
I have seen so many doctors over 45 years. Been saying the same thing to all of them Not one has understood. You have it just the way I feel. I guess I will take this vid to the dr and make them watch. Thank you sir. Wish you lived in Indiana
Thank you for your incredible and well explained information. You are a Godsend and a huge gift to humanity. Highly recommending your videos. Awesome selfless gift.
Many thanks for this. Knowledge and understanding make it PAF much less frightening and it's wonderful to have your advice,
Thank you so much for all of the great information that helps us who are struggling with chronic and debilitating health issues, get sorted out and get our lives back. I agree that lying on the left side causes immediate and intense A-Fib. Right can be a problem, too, but doesn't feel crisis-level like the left. Lying on my back, with my head and shoulders elevated seems to be the best way to avoid this. It also stabilizes the joints for those of us with Elhers Danlos.
Thank you Dr. Gupta for this video. I have lone AFib. Mine is vagal. I was diagnosed at the age of 34 after ingesting an ice-cold beverage. I didn't have any episodes for about 15 years, but now they've started occurring more frequently, usually at night when I wake up to use the toilet but also if I ingest cold foods/beverages or cough hard. I have been reading a lot of studies and papers, and I learned something I thought I would share here as you did not mention it.
Research suggests that childhood trauma may be linked to an increased risk of developing vagally-mediated atrial fibrillation (AFib) later in life. Adverse childhood experiences (ACEs) can affect the development of the autonomic nervous system, including the vagus nerve, which plays a crucial role in regulating heart rate and rhythm. Studies have shown that individuals who experienced childhood trauma may have altered autonomic function, including increased sympathetic activity and decreased parasympathetic (vagal) tone, which can contribute to the development of AFib. Additionally, childhood trauma has been linked to inflammation, oxidative stress, and epigenetic changes, which may also contribute to the development of AFib.
I think baseline bradycardia has something to do with it as well. Like athletes, my resting heart rate has always been very low (upper 40's), but I am not an athlete. I read a study published in March of this year which showed that children with more violence exposure reported increased post-traumatic stress symptoms as well as lower resting HR. The effect was more pronounced in girls than it was in boys.
I think that being female and having a low resting heart rate as well as complex PTSD due to my adverse childhood experiences could explain my vagal AFib, as well as a likely inherited component. My sister has supraventricular tachycardia.
Ok that’s good info. How to fix it?
Wow! Thank you for sharing this information. I have a low resting heart rate also (mid-upper 40's) low blood pressure, and a VERY DYSFUNCTIONAL/ABUSIVE family growing up. I wonder if my afib is vagal?
I've just been diagnosed with Afib and you have calmed down my panic about it. I really appreciate your videos.
I can't thank you enough for the information you give. It really helps me understand and feel better about my afib. I learn more from your videos then I do speaking to the several cardiologist I have seen as when I try to explain my symptoms to them they seem to not really understand and too quick to convince me on getting a ablation. Thank you.
Same hare .they try to convince to do RFA...meditation is great to develop parasympathetic nervous system.
THIS! Thank you so much! Exactly what I’m dealing with! Been a bit frustrating talking with my heart doctor describing my symptoms. Now I can go back and discuss what is actually going on with me. Great Video!
Thank you for this very informative video. I had superventricular tachycardia with a pulse of 225 per minute during a time when I was extremely anemic. Adenosine IV by paramedics carioverted me back to a normal sinus rhythm. Now wearing a ZioPatch monitor and then will see a cardiologist electrophysiologist. I always thought I have had atrial fibrillation. But then I have always felt I had a sensitive vagus nerve response to pain. I faint easily. My pulse tend to run slow too. I will ask about vagal atrial fibrillation. My grandmother suffered from atrial fib. The heart is a complex electrical muscle! Love your videos!
Any update?
This is absolutely fascinating and I continue to be amazed at your passion and knowledge on this subject! After getting episodes once every 4-8 months over the past 10+ years(currently 39), I finally got on on ECG on Monday - Atrial flutter. All of my 'episodes' have have happened either while bending over or which on the toilet (not shy about it! :) ). I also experienced one when I jumped out of my car into really cold weather. I also get ectopic beats most frequently at night while slouching on the couch or after eating beans or spicy food... sometimes while drinking cold liquid. All of this makes me convinced - perhaps wrongly so - that these are triggered by increased vagal tone which slows the heart and then activates the arrhythmia. Most commonly at an onset of an episode I experience very irregular beats for 5-10 seconds (which REALLY freaks me out) and then my heart takes off into a rapid rhythm... have counted it at 160 twice recently and in the ER it was sustained at 147, sometimes up to 150. SO... the only difference in what you are saying here is that every single episode I have had has happened in the day time - except for this last one which happened at night AND my heart rate does go very fast. Vagal Maneuvers worked in past as does changing positions especially laying onto right side or lifting left arm up. This last time however it lasted 1 hr 45 minutes - they gave me 12 mg of adenosine and it did not convert... 15 min later just before they were going to give me a beta-blocker it converted when I sat up. Who knows... perhaps this one was A-Flutter and all the rest were a more common/classic SVT. I am going to make an appointment for online consultation with you... these episodes are terrifying but even more terrifying to me is being in the ER without a cardiologist present and them not being sure of the rhythm and going for adenosine and other drugs that I fear could cause more problems... this is why I need to be prepared and with a plan! Thank you so much for helping us
Hi Gregory, this is a year later. My conditions are similar: episodes suddenly became more frequent, triggered by a sudden blast of cold air, slouching on the couch or after eating, drinking cold milk, initiated by irregular beats for 5-10 seconds. Have you seen any improvement?
Exactly the same happen to me if I drink or eat : , alcohol, coffee, chocolate, vanilla extract, garlic. Ive been 18 years without drinking a cup of coffee, coca cola beer, nor a Hershey bar
You’re such a blessing Doc!!!
Oh my god, this video is so accurate, it scares me. I'am 26 years old, 75kg on 177cm, never smoked, no drinking, no drugs, no diabetes. In March I woke up with afib for the first time in my life, went to the ER and got e.cardioversed into sinus again. 4 Weeks ago I got a pulmonary vein isolation, now waiting for the end of the blanking period. However I noticed extreme heart skips and flutters when laying on my LEFT side, no doctor believed me. Now I get heartskips when eating heavy meals....like a footlong sandwich or a full sized kebab :D
Now I have to take betablockers and edoxaban every day. I believe those make my symptoms worse...
My heart itself is in an awesome shape. No structual deseases, perfect bloodpressure. It feels like my body is betraying me after preventing all these bad lifestyle habbits :( Other people party like armageddon is aproaching and I have to watch every step in my doings. Life isn't fair.
I feel your frustration friend. How are you doing now? I was prescribed beta blockers recently, but have yet to take one as I'm not warming up to the idea of consuming something that is going to slow my system down.
Yes, i have the exact same symptoms. How are you doing now and did you have an ablation?
Hi, I know some people that went that route and it worked for a few months and then returned. If i had that option I'm not sure that I would do it.
ya life is not fair.😞
please look at my post, try to research Atlas misalignment. your neck could be putting pressure on the vagus nerve.
i'm only saying that because i had similar things happening to me .
nothing to lose.
Another spot on video on trying to explain what a mongrel condition AF is. Mine was usually triggered bending down playing golf and now can control it much more effectively taking magnesium supplement as suggested along with other heart healthy electrolytes found in pumpkin seeds, cocoa powder etc.
Thank you from the top of my heart 😊
I am 71, and you persuaded me to go on anticoagulants in another video. All are very helpful!
Chuck Conlin
How are you getting on?
Thank you! More knowledge and information than ANY of the doctors I've been to! 💖
Now things suddenly start to make sense... thank you so much!
DOCTOR YOU ARE WONDERFUL ! YOU REALLY HELP US LEARN WHAT IS GOING ON ! YOU ARE A BLESSING AND I AM BLESSED TO HAVE SEEN YOUR VIDEO HERE , YOU ARE HELPING US ALL LEARN HOW TO HEAL OUR AF ! BLESS YOU , YOU ARE AN ANGEL !
Dr.Sangay Gupta thanks for all the Infos for my older patients and I really appreciate your "new holistic model" of helping as a super professional modern Cardiologist attacking any heart problems big or small from all the possible angles available in 21.century cardiology. 🙏
Thank you! I'm 52 yrs old, up until a year ago was an extreme athlete. First noticed very slow heart during sleep/waking around that time. I have excellent blood pressure, slender, supplement, lots of attention on nutrition, etc. So the first time I slid into AF during day was scary! Back to normal in 4 hours. Had 3-4 episodes since March. So I am very interested in this! Thank you so much! Reading comments in this vid was SO helpful! thanks guys!
What did it feel like. Whenever, I eat carbs I go into palpitations and skipped beats back to back to back. It's scary. Last a few minutes.
We are so lucky to have you here. I discovered you yesterday , and i can’t get enough of your knowledge.
Thank you so much for sharing.
Now it all makes sense!!! Thank you. Speaking with a new cardio consultant next week and now I have something to discuss.
Absolutely top class presentation; very, very helpful 👍. Many, many thanks for your postings!
Amazing insight you bring on this AF subject. Thank you. Stay truthful to the people!
Dr...I can not Thank you enough! Back in Sept I had Kidney Stones, the pain was unbearable, after this I started having constant Heart Palpitations, usually along with constant gas/belching, I then noticed issues with going to the bathroom, both 1and2 would cause heart skipping and my bowl movements would make you think I had a blockage. I have been stressed from this for Months, it has taken its toll both Mentally and Physically. Thank you and many Blessings for this!
Brilliant, you covered all the problems and potential problems, except acid reflux, although you did say avoid certain foods , over eating, excess everything really AND bending down / over, which forces acid up into the Asophacus and upper stomach, where, I'm guessing, the Vergal nerve is . I remember coming home from hospital after my first ablation, ( the heart guy who did the ablation told me to throw away all my drugs, so certain was he that he had done a good job. back home i dropped a fork on the floor, bent down to pick it up, and off went my Afib again. It lasted all night , and,---back in A&E next day, same guy was hauled in to deal with me ( with drugs ) Thank God for Pacemaker's.
you described my problem and to a high degree of accuracy. i just got released from a hospital where the only thing they had for me is antiarrhythmic meds, i refused them because i did not feel that they found the real issue with me that also included breathing and stomach along with heart. i started looking into the nerves and found evidence that compressed nerves in the neck can cause lots of what i was having.
after i started addressing that the symptoms are going away.
please look into the effects of misaligned spine the same symptoms you are describing.
now i have to go and watch all your material and learn as much as i can.
thank you so much.
edit:
i'm also taking Magnesium Orotate 40 mg and Magnesium Taurate 200 mg. found them both to help the most.
Are you seeing a chiropractor? And is your Afib controlled with your treatments? thank you...trying to find anything to hekp me that isn't a drug or ablation,
@@Savannah-ed4rv chiropractors are okay but I found out the technique of osteopath is so much better. However after a few years of doing this I realized that you only let them guide you to what you need to do, you need to start yoga and to become active flexibility and stretching are extremely important to maintain good alignment which would help your nervous system. Also have some blood test done and check the balance of magnesium calcium and potassium and so on. Have a professional advice on that I heard good things about ablation it would be my number two choice . My last choice would be drugs.
@@allthesame3856 thanks for responding. Are you talking about OMT from an osteopath? I've had that many times and have thought about asking a doctor to try it for my Afib. My previous doctor has retired so it may be a challenge finding someone. I've never been to a chiropractor and they do frighten me a little :) Are you doing better with your treatment regimen? I hope so!
@@Savannah-ed4rv yes I'm responding well to simple things, I see an osteopath to correct my posture and improve my alignment. It's the best way to correct my pressed nerves in my neck. I also take magnesium which helps with my heart a lot and I became more active and I do beginners yoga which is very very helpful with everything.
If I can help at all I would be very happy.
@@allthesame3856 That's awesome, and I'm encouraged to find another osteopath. I have had problems taking magnesium, but I try to eat a healthy diet. Thanks for inspiring me to try what I considered a few weeks ago! I appreciate your offer and I'll be in touch if I run into any questions!
I have been expereincing AF for sometime now - and recognised there was a connection to my digestion - as I would sit & burp & burp ... I had wondered what the connection was to my Heart AF & Digestive Tract - makes so much sense - thank you so much for sharing .... Bless you
Same here. I can’t tell you how uncomfortable it is.
Thanks for the info . . . Your video accurately describes my symptoms !
Dr Gupta, thank you for the clarity in describing vagal AFib which is my recent diagnosis (paroxysmal). I am 72 years old and have been bradycardic from years of being athletic from playing basketball, tennis and golf (I walk the course), and jogging. The symptoms you described are spot on and I now have a clear understanding of my condition.
Initially a year ago my heart rates during AFibs ranged between 130 - 160; it’s been averaging in the 80s in the start of 2024. I will ask my cardiologist about my current prescription for Diltiazem. I had the Watchman implanted three months ago and was told that an ablation is not recommended earlier than one year after the procedure.
Thank you from melbourne Australia , may God always keep you safe 🙏 your the best!!
I also wanted to say thank you for this wonderful video - I feel so understood and your advices are so helpful. Thank you very much for your work
Thank you, thank you! I think you may have solved some of my enigma about why my current AF treatments are just not working for me. I have been asking re the sleeping on left side, which sets off the AF, & other things you mention for months but just get ignored. I have an appointment this week for a second opinion & now I know what to ask! Wonderful.
Superb explanation - am referring this
to my cardiologist, who appears to know very little, except how to rapidly fill out prescription forms.
Meant to also ask about thiamine deficiency and both vagal and sympathetic AFib. Thank you so much for all your helpful content.
Man i’ve been dealing with afib for about 3 years now.42 year old male it seemed like my afib triggered when I was laying in bed or on the couch. Only thing that would take me out of my events was power walking for 20 minutes. I’ve mentioned this to my ep and he was like that doesn’t matter.Beta blockers also make me very sick but I was taken off flecanide and put on sotalol and my attacks came back.Normally in afib my pulse is under a 100 and i’m never in afib while lifting weights or exercising. I’m fairly confident this is what I have and it’s very sad it took a youtube video to help me find out. Thank you for your amazing videos
Wow, This could be it! I have spoken to you several times by phone and unfortunately nothing so far has improved my condition. But this video makes alot of sense to me and you talk about alot of symptoms that are happening to ME. ie nigh-time palpitations when resting,raising your pillows and how beta blockers don't work etc etc.. I think its amazing that no doctors or cardiologists I have spoken to have ever mentioned VAF, I am 2 years into this condition having had extensive (and costly) medical procedures and medications, this video could be a game changer for me...thank you doc !
This has been so helpful!!!! I am woken from of a sound sleep and the Afib that lasts for at least 4 hours of exhausting pounding, racing, and thumping :( This information describes my symptoms exactly. I have been on Metoprolol for a few years now and will talk to my cardiologist as soon as possible to discuss changing my medication. With lots of pillows I hope to start being able to sleep without being ambushed by my heart! Thank you so much Dr. Gupta!
Thank you so much for your comment and for watching the video. Please join me for live free chats on my Facebook page (type yorkcardiology@gmail.com in Facebook search) - I will be able to answer your questions there
Thank you for so much sir. God Almighty bless you and get rest too!
Thanks a million ,great straight talk and knowledge ,,wish there were guys like you in Ireland they tell me nothing and out the door so frustrating . i walk out as wise as i walked in,just as scared .
I definitely have Vagal AF - I am going to incorporate all of your suggestions to see if I can resolve this - Thanks!
Thank you for all the information and support that you give to people
You're a Godsend! Thank you so much. I've learn quite a lot since I've watched your videos.
So interesting. Your description fits my history.
I can relate so much to this video I get SOB after a meal when bloated or when sitting at my desk and I feel better when I am physically active. As always thank you so so much SG !
Thanks for another great video.
Excellent video. I had my first afib at 19, then nothing for 10 years and it happened again, then after another 10 years and it happened but this time is it did not go away and kept coming back. I have been on Flecainide and Cardizem for the last 15 years and it seems that every year I have a bout for about 1 week or two where it comes back and the meds don't seem to help. I have mentioned that laying on my left triggered it at times as did things like a cough or stomach bloating but my doctors have usually dismissed this. One time I laid flat on my back and the rhythm was normal, I would rotate to the left and it would go out, roll back and it was fine, roll onto the left again and it kicked out...my wife witnessed it. I appreciate your videos. They don't prove I'm not crazy but maybe in this one issue I'm not.
You are the Best. Thanks for all the videos .I love to watch them.
Thank you very much, Dr. Gupta, for these insights, even though they have complicated things for me. I am male 74 in USA and my paroxysmal AFib seems to fit the vagal description, but if there is a generally accepted age cutoff, I don't expect a sympathetic reaction from my cardiologist. I am taking an anticoagulant and metoprolol as a result of A flutter and ablation 4 years ago, so the identification of the type of Afib seems important. I was hoping for maybe a quick ablation and getting on with things, but waiting 15 years until it gets very bad, well....that's just not too palatable. Will be watching your other recent videos on this. You seem a bit tired; please take care.
WONDERFULL EXPLATION ON VAGAL AF.I WOULD LIKE TO SHARE YOUR EXPLANATION TO MY STUDENTS AND INTERNS.
Thats so wonderful to hear. Please do go ahead if it would be useful and someone may benefit.
Thanks for supporting our channel.
It would mean a tonne if you'd consider subscribing:-)
@@YorkCardiology thank you very much
Today I have uploaded video lectures on VAGAL AF . I have used materials from your video and I have mentioned your name in my video lectures. Thank you very much for your permission.
You just described my symptoms perfectly, thank you
Exactly. Eating at night, even a light dinner will start mine. I find getting in my recliner in a supine position and humming like a bee while taking breaths through my nose stops it in it's tracks. Yes, Magnesium too!
Thank you for your comforting chats and expert knowledge.
Thank you Doctor, love how you explain everything in detail, so wish you were my Ep.
Love your videos Sanjay. Thank you for all you do. Much love.
Thank you for this video on Vagal AF. I'm not sure if it describes my. situation exactly. I will, however, ask an electrophysiologist tomorrow. Thanks to you for giving me some of the information I need in order to ask the right questions.
Excellent videos! Thanks for sharing + keep them coming!
Excellent, very informative, to the point and very well explained, 👍
you look very tired sanjay please take care and sooooo much gratitude to you ❤
Thanks so much for your time!
I don't see the link for the Magnesium you recommend? Thank you so much for this video. Your the best.
Thank you, thank you!! You could've just saved my life!!!
Thanks so much for the excellent video
Thank you, great simple explanations. I have had an ablation for AF, 5 years ago, and have recently had some suspect palpatations, your explanations quite helpful in describing what could have lead up to these .thank you.
Thank you so much for this video. Your explanation was extremely clear and easy to understand. You also made me feel so much better as I have been experiencing the symptoms you described. I had noticed a correlation between laying on my left side, drinking cold water and eating spicy food or heavy meals as a contributory factor. It must be misunderstood in the medical community since I’ve mentioned this to my doctor and he didn’t see a correlation. So this information really helped me understand much better.
I self diagnosed this syndrome in myself after 2 hospitalizations. I really appreciate the tips for coping with it. I intuited most of them like meals and abdominal contraction. Many of my episodes have brief prodromal warning that I've learned to seek simethicone water and get on the floor. The anxiety that accompanied the events was awful. I had to give up lifting weights because it was triggered almost every time.
Hi Dr. Gupta. This video has been very informative for me. I'm a 32 yo IgA nephropathy patient. I took a course of prednisone for 7 months 3 years ago when diagnosed to stop progression. I had swallowing induced afib 3 years ago, but I had concurrent subclinical hyperthyroidism. All symptoms resolved and I thought nothing more of it. Then the last year, I started to have diarrhea within 15 minutes of eating, and within the last three weeks, swallowing induced heart palpitations and dizziness have returned. My internal med doc and my cardiologist are making me feel like I made this up. I finally convinced them to observe it on EKG while I swallowed crackers and water. I have felt like crap every since I took prednisone and have not felt energetic or the same. The first time I had this I was normal weight, no sleep apnea, and was on a PPI due to acid reflux with prednisone. Now I am 65lbs heavier with sleep apnea (I use a CPAP), no PPIs or acid reflux anymore. I am in the group of people that this AF is getting worse. I get it all the time when swallowing and it's getting more painful and uncomfortable. I get it also when swallowing water or burping after eating. I obviously can't stop eating. My physician has ordered an echocardiogram next. What else can I research? I'm a PhD student in pharmaceutical health services research. I tend to feel more comfortable when I can research this. I have found a handful of case reports of this. Metopralol has been prescribed, but I did not tolerate it last time because I take an ace inhibitor for my renal disease to begin with.
I should also mention 3 years ago I had halter monitor and esophagram done. The esophagram was normal and I was told the halter monitor showed rapid heart beats (260bpm) coming from the upper chamber. The EKG this time my physician said showed afib.
And I am HLA-B27 positive. Yeah, I have been worked up for all kinds of things over the years. The renal disease was right in our faces the whole time and I just feel like I have underlying systemic inflammation. I can't take ibuprofen, obviously. And I have developed severe joint and muscle pain and weakness in the last year.
I have been an athlete my whole life and was a half and full marathon runner up until 3 years ago after prednisone. I have had 3 orthopedic surgeries (2 ACL reconstructions after downhill skiing falls and 1 intramuscular hemangioma resection) over the last 2 years.
I’m almost positive I have Vagal AF. I have 0 on the chads score. Mine tends to be at night. Usually a startling event such as alarm etc. seems the movement of getting up especially when constricting the midsection seems to cause it. I’ve even bent down quickly while playing and have had it start. Doing push ups and holding my breath can start it. My Docs have said my heart is fine and I’m mid 30s. Have had it since late 20s. Anxiety as well seems to play a part. The pills they give me for when it happens drops my BP so much I pass out and have shock symptoms. I also get flutter from gerd I believe. I feel it and I’ll sit up or stand and burp making it go away. I appreciate the work you do.
I was recently diagnosed with AFIB. I am 22 years old and I've had every doctor and EMS worker tell me I'm the youngest they seen with it. My worst Afib attack was after I ate a big meal that had a bit too much sodium and salt. I get alot of 'fight or flight' sensations with my flutters when I have them they immediately make me anxious. my cardiologist hasn't given me really any information except diagnosing me with it. Thank you so so much for these videos. They have even really eye opening!
I have been weight lifting since age 16 and won my first bodybuilding contest at age 18 Mr Teenage Orange County Muscle Classic in California, and I have extreme vagal AF and that is what I was first diagnosed as, then as time went on they said i was paroxysmal atrial fibrillation. I have been on so many meds none of then really work. I go workout hard, and i fee great, then that night or next day when I am all sore, and inflammation is high and vagal tone is high, I flip into a-fib just like you say, EVERYTHING YOU SAY IS CORRECT, wow I am amazed after all these years finally hearing this. My cardiologist has me on sotolol a very high mg twice a day, and it has caused me to get stuck in a-fib and have a weak heart beat and develop slight CHF my BPN was 350 and i was showing some edema so they gave me spironolactone and lasix low mg but it works good. But come to find out like you say BB may not be the best choice for me at all, and when I am in A-fib i lose 15% off the top then all the meds slow my function, so when i got stuck in a-fib for 3 days one time thats when i showed some swelling. One Echo showed 40% ejection, and the other when i was out of a-fib on a different med a year earlier showed normal function. Well this is great info, I want to try quinidine ,,, i also want to try Tikosyn ,,what one would you recommend me try THANK YOU SO MUCH musclememory.com/show.php?s=REGINALD+PALMER&g=M