• over 2 years ago

    Belching-induced PACs?

    59 year old man. History of PACs that weren't noticeable to me -- just showed up sometimes on annual physical exam EKGs.
    I burp when nervous, and was successfully treated for GERD so bad that I had an erroded esophagus -- healed now.

    When I drink carbonated ANYTHING and burp, I get PACs each time I burp. Doesn't matter whether drink is caffeinated or not -- soda water does it too. BP is high when PACs happening, but Dr. says that is due to the early beats spiking the pressure.

    Just starting to dig into this -- wondering if vagus nerve is being stimulated by the gas bubbles in the esophagus, causing heart to fire early. Would love to hear if this sounds familiar to anybody out there. If so, I sympathize -- this is scary and annoying.


  • over 2 years ago

    RE: Belching-induced PACs?


    "When I drink carbonated ANYTHING and burp, I get PACs each time I burp."

    As applicable, the most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many ♥-healthy individuals) or the second most common type of palpitations, premature atrial contractions (PACs), described that the heart is flip-flopping, fluttering, jumping, pausing or stopping briefly (though it's actually not doing that), pounding, skipping, thumping, or strong, hard, or forceful beats being felt in the chest, neck, throat, has various causes (cardiac and non-cardiac) or triggers.

    PVCs as well as PACs are typically harmless (benign), be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc., etc.

    Also as applicable, some individuals have reported, palpitations (PACs, PVCs), atrial fibrillation (AF), or tachyarrhythmias (tachycardia, supraventricular tachycardia/paroxysmal supraventricular tachycardia) being triggered off by GERD/acid reflux/heartburn, swallowing (food or drink), gas, bloating, belching, burping or coughing, or after a heavy meal/on a full stomach.

    These are known as indirect causes or an "reactive-arrhythmia". This may/can also be a side effect of some foods (which includes additives and preservatives), drinks, or drugs. On the flip side, in some cases, belching, burping, or coughing may/can terminate/relieve an irregular heartbeat.

    Take care,


    WebMD community member (since 8/99)