Can treating my hiatal hernia reduce my AFib?

Question

Hello doctor,

I am 50 years old and recently diagnosed with atrial fibrillation after episodes of palpitations, especially at night after meals. What is confusing me is that I also have a known hiatal hernia, and the timing of symptoms sometimes overlaps with heavy eating or lying down.

That is why I keep asking, can a hiatal hernia be the real cause of my AFib at 50? because I notice reflux, chest pressure, and then an irregular heartbeat, all in the same episodes. It makes me wonder if the stomach issue is triggering the heart rhythm problem or if they’re just happening together by coincidence.

I have read mixed opinions online, and it is hard to know what is real versus speculation. I do not know whether treating the hernia more aggressively could actually reduce AFib episodes or if I need to think of them as separate conditions.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The hiatal hernia alone is not known to be a direct cause of AFib but in certain cases, it can be one of the triggers that set off an episode of AFib.

A hiatal hernia will create more instances of acid reflux, distension of the stomach and increased pressure in the area around the diaphragm and this can affect nerves, including the vagus nerve, and create symptoms like chest pressure, palpitations, or an irregular heartbeat sensation.

Lying down after consuming a heavy meal can also increase instances of acid reflux. However, AFib at age 49 should still be evaluated on its own, because other factors such as blood pressure, sleep apnea, weight, thyroid problems, alcohol, and heart structure can contribute.

Treating the hiatal hernia or reflux aggressively (smaller meals, avoiding late-night eating, weight management, reflux treatment if prescribed, and avoiding triggers) may reduce symptoms and possibly episodes in some people, but it is not a guaranteed cure for AFib.

Keep consulting your cardiologist for the rhythm management as well as your gastroenterologist regarding the hiatal hernia. I hope I have answered your question.

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Let me know if I can assist you further.

Regards.