Afib Triggers: Mine is my neck or body position, yours?

Posted by akbooks45 @akbooks45, Jan 12, 2020

My atrial Fibrillation triggers with neck position or body. My neck and torso are relatively short and I seem to compress the Vagus nerve if my neck is sharply bent or the same with my torso. Have you ever heard of that? That is the only time it does so.

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The last time my heart rhythm went off I was just sitting in my recliner relaxing…that episode was the worst I’ve ever had. It lasted about 3 hours during which my BPM went up to 160!
I was able to record it at its worst via my Apple Watch and print out the EKG for my cardiologist.

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Profile picture for bevily @bevily

I’ve only had it once and initially alcohol was blamed because it occurred the day after we’d attended a party. But after examination, taking my history and some blood tests, they decided that although alcohol is a definite trigger, the fact that I hadn’t taken my thyroid or BP meds for 5 days, was more likely the cause because my BP at the hospital was off the chart. I still drink red wine every day, and it’s been three years since that event without further ado.

My husbands Afib has twice been triggered by physical posture. If he crouches down, as if to wash a floor, he goes into Afib. Sounds weird but he’s 6ft4 so maybe the vagus nerve is getting compressed somehow? This being said, the doctors at the hospital gave this theory very little credence so…🤷🏻‍♀️

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Sometimes when I bent down forward in a sitting position, I feel Afib coming on. If I straighten up quickly, it goes away.

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I’ve only had it once and initially alcohol was blamed because it occurred the day after we’d attended a party. But after examination, taking my history and some blood tests, they decided that although alcohol is a definite trigger, the fact that I hadn’t taken my thyroid or BP meds for 5 days, was more likely the cause because my BP at the hospital was off the chart. I still drink red wine every day, and it’s been three years since that event without further ado.

My husbands Afib has twice been triggered by physical posture. If he crouches down, as if to wash a floor, he goes into Afib. Sounds weird but he’s 6ft4 so maybe the vagus nerve is getting compressed somehow? This being said, the doctors at the hospital gave this theory very little credence so…🤷🏻‍♀️

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Profile picture for anngunion @anngunion

My afib episodes also appear to be triggered by neck position, particularly if my chin is jutting forward when I am awake, or if my head slides down from its position on a raised triangle-shaped foam pillow when sleeping.. Also feel it coming if inhale too much air when exercising or have pressure on chest when lifting light weights over head. Another trigger is accumulation of mucus in throat. Perhaps it is a response to narrowing of space for breathing or pressure on vagus nerve? Forcing myself to burp sometimes works to stop an episode from progressing. Anyone else experience these triggers or finding that burping helps?

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Yes, burping always helps my AFib. In the past, I assumed my arrhythmia was due to indigestion (I am an “air gulper”). Eating smaller meals, slower, and mindfully has helped me, and no glass of wine no matter how small or diluted.

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Profile picture for realitytest @realitytest

Is the awakening causing the Afib (do you use an alarm?) or is the Afib causing you to awaken?

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For me it seems to be going into rem sleep, I have an intense dream and I wake up!

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No but have neck pain..always think related but no proof

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Profile picture for realitytest @realitytest

May I inquire what genetic problem he had that was remediable by surgery?
What surgery?

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I'm sorry I don't know all the details. All I know is that he does not have afib anymore.

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Profile picture for mayofeb2020 @mayofeb2020

@phillidobrien @amandaburnett..my son in law had afib for years, had 2 ablations, then he found a doctor in Texas and was getting ready for a 3rd when this doctor saw something other doctors did not. It was a genetic problem. He had an operation to fix it, now no more afib and no more meds.

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May I inquire what genetic problem he had that was remediable by surgery?
What surgery?

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Profile picture for damari @damari

I also take multaq and eliquis and have breakthroughs every 2-3 weeks. Oddly, when afib occurs my ears get clogged and stuffy. i asked the nurse/doctor and they said there is no connection. Have you had this happen? I also had episodes only once a month early on and now they have increased. The dr. wants me to take a different rate pill. My episodes are always the first thing upon awakening. What is the trigger?

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Is the awakening causing the Afib (do you use an alarm?) or is the Afib causing you to awaken?

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Profile picture for anngunion @anngunion

My afib episodes also appear to be triggered by neck position, particularly if my chin is jutting forward when I am awake, or if my head slides down from its position on a raised triangle-shaped foam pillow when sleeping.. Also feel it coming if inhale too much air when exercising or have pressure on chest when lifting light weights over head. Another trigger is accumulation of mucus in throat. Perhaps it is a response to narrowing of space for breathing or pressure on vagus nerve? Forcing myself to burp sometimes works to stop an episode from progressing. Anyone else experience these triggers or finding that burping helps?

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Not exactly, burping has never helped. But I can reset my heartbeat if I am having lots of PVCs either by flexing my feet or cocking my neck to the right. There is definitely a nerve connection but it translates so differently in different bodies.

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