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Re: TRUDY/ice paks

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>> . The shock of the cold, and the relaxing method, just seems to pop you

>> back in sinus.

<<

This is presumably due to stimulation of the vagus nerve. My doctor

suggested plunging the face into cold water, but your method sounds good too.

Face into cold water wasn't very effective as I recall.>>

Just a small word of warning - if you have vagal AF there's a fair chance that

things could start feeling unpleasant when you try this - I strongly suggest

you have someone with you when try it out for the first time.

I've tried dipping my head in cold water when I was in NSR and it put me into

AF in around 5 seconds. I've also tried it when I'm in AF but it just makes

the rate go down a little and the palpitations get much stronger (a similar

feeling to when I have my blood pressure taken when I'm in AF). It's certainly

the case that some triggers can also bring people back to NSR so I'm not

suggesting it wont work for everyone with vagal AF - just be safe when you try

it :)

take care

--

D

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I think that is because you have to bend over to get your face in the water (to

some this is a trigger), while with the ice pak, you can be up right, or laying

back relaxed. Still might not work, but who knows. I didn't think that it would

either, but it did. Walt w/lots of rain, and we needed it. In SC----- Original

Message -----

From: victortt@...

To: AFIBsupport

Sent: Saturday, March 09, 2002 10:02 PM

Subject: Re: Re: TRUDY/ice paks

In a message dated 3/8/02 3:55:33 PM Eastern Standard Time,

pondsite@... writes:

> . The shock of the cold, and the relaxing method, just seems to pop you

> back in sinus.

This is presumably due to stimulation of the vagus nerve. My doctor

suggested plunging the face into cold water, but your method sounds good too.

Face into cold water wasn't very effective as I recall.

Victor

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very good point, as Im not vagal, but pararoxsmal. , just don't know. Whats

good for one is not necessarily good for the other. Maybe like good for the

goose and not for the gander??? take care Walt

Re: Re: TRUDY/ice paks

>> . The shock of the cold, and the relaxing method, just seems to pop you

>> back in sinus.

<<

This is presumably due to stimulation of the vagus nerve. My doctor

suggested plunging the face into cold water, but your method sounds good too.

Face into cold water wasn't very effective as I recall.>>

Just a small word of warning - if you have vagal AF there's a fair chance that

things could start feeling unpleasant when you try this - I strongly suggest

you have someone with you when try it out for the first time.

I've tried dipping my head in cold water when I was in NSR and it put me into

AF in around 5 seconds. I've also tried it when I'm in AF but it just makes

the rate go down a little and the palpitations get much stronger (a similar

feeling to when I have my blood pressure taken when I'm in AF). It's certainly

the case that some triggers can also bring people back to NSR so I'm not

suggesting it wont work for everyone with vagal AF - just be safe when you try

it :)

take care

--

D

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> very good point, as Im not vagal, but pararoxsmal. , just don't

know. Whats good for one is not necessarily good for the other.

Maybe like good for the goose and not for the gander??? take care

Walt

I thought that pararoxsmal meant AF only once in a while, ie not

chronic. The reason for the AF could still be vagal, adrenergic or

both. Maybe I missed something.

Fran

> Re: Re: TRUDY/ice paks

>

>

> >> . The shock of the cold, and the relaxing method, just seems

to pop you

> >> back in sinus.

> <<

> This is presumably due to stimulation of the vagus nerve. My

doctor

> suggested plunging the face into cold water, but your method

sounds good too.

> Face into cold water wasn't very effective as I recall.>>

>

> Just a small word of warning - if you have vagal AF there's a

fair chance that

> things could start feeling unpleasant when you try this - I

strongly suggest

> you have someone with you when try it out for the first time.

>

> I've tried dipping my head in cold water when I was in NSR and it

put me into

> AF in around 5 seconds. I've also tried it when I'm in AF but it

just makes

> the rate go down a little and the palpitations get much stronger

(a similar

> feeling to when I have my blood pressure taken when I'm in AF).

It's certainly

> the case that some triggers can also bring people back to NSR so

I'm not

> suggesting it wont work for everyone with vagal AF - just be safe

when you try

> it :)

>

>

> take care

> --

> D

>

>

>

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> very good point, as Im not vagal, but pararoxsmal.

paroxysmal menas occasionally. both vagal and adrenergic can be

paroxysmal. vagal is associate with going into afib when relaxed,

adrenergic when stressed, etc.

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Fran, my diagnosis as it is written in my medical record is " vagally mediated

paroxysmal atrial fibrillation " so, yes, I agree that paroxysmal means AF only

once in a while, ie not chronic, as you say. Sandy

----- Original Message -----

From: fross2001

To: AFIBsupport

Sent: Sunday, March 10, 2002 12:27 PM

I thought that pararoxsmal meant AF only once in a while, ie not

chronic. The reason for the AF could still be vagal, adrenergic or

both. Maybe I missed something.

Fran

> very good point, as Im not vagal, but pararoxsmal. , just don't

know. Whats good for one is not necessarily good for the other.

Maybe like good for the goose and not for the gander??? take care

Walt

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Could be right, although My cardiologist only referes to paroxsmal, even though

ive had bradycardia, and had to have a pacemaker, reflux, often found and

idntified with vagal, but often go into a-fib from excess adrenelin, usually

adrenergic. Im to complex to readily identify with either, and as I go in and

out at any time, usually for any reason, hence paraoxsmal. walt

Re: TRUDY/ice paks

> very good point, as Im not vagal, but pararoxsmal.

paroxysmal menas occasionally. both vagal and adrenergic can be

paroxysmal. vagal is associate with going into afib when relaxed,

adrenergic when stressed, etc.

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paraoxysmal does mean intermittent - see

http://www.affacts.org/Questions/classified.html

Walt wrote:

<<I think that is because you have to bend over to get your face in the water

(to some this is a trigger), while with the ice pak, you can be up right, or

laying back relaxed. Still might not work, but who knows. I didn't think that

it would either, but it did. Walt w/lots of rain, and we needed it. In SC>>

Walt, you are correct that bending over can stimulate the vagal nerve too but

this is exactly what you are doing when you apply cold water to the head.(I

think it's known as the 'diving reflex' - the body thinks it's in trouble and

switches a lot of things off and tries to conserve the oxygen it has in case

it might not get another for a while! - hence the slowing of the heart). It's

true I have also gone into AF when bending so doing theses operations

together may lead to some confusion. However, I can say without a shadow of

doubt that plunging my head in cold water has a much more dramatic effect on

my heart rate than bending does - it's very immediate and easy to spot the

slowing of the heart.

all the best.

--

D

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