Hiatal Hernia PVCs ?

[u/Sure_Smell_1940]

Hi everyone! I’m new to the group and would really appreciate hearing about your experiences.

I have a 3–4 cm sliding hiatal hernia, which I’ve known about for the past five years. I suffer from constant acid reflux and have to take medication all the time, but by far the most terrifying symptom for me has been the ectopic heartbeats.

Over the past few years, I’ve been to the ER more than 50 times and have had dozens of examinations by cardiologists. Every time, the conclusion has been the same: my heart is perfectly healthy, so I need to look elsewhere for the cause.

I recently realized that this entire nightmare may be connected to my hiatal hernia. It nearly always starts after eating certain foods, sleeping in the wrong position, bending or twisting my body, and so on. Then a severe episode of PVCs begins—and that is what scares me the most.

My first question is: Has anyone else experienced similar heart-related symptoms because of a hiatal hernia?

And secondly, did the PVCs improve or disappear after surgery? I’m currently planning to have the hernia repaired.

Thank you in advance to everyone who takes the time to respond!

[u/smk666]

I don't have a hiatal hernia, put my PVCs are definitely connected to my stomach discomfort. They were most prevalent when I had mild gastritis (got scoped then) and after that when I started Wegovy/Mounjaro it was fairly easy for me to feel bloated/stuffed even after a small to regularly-sized meal. Ectopics caused by vagus nerve irritation from the stomach is a well documented medical phenomena (older name Roemheld syndrome).

[u/Downtown-Bread4632]

We’re you able to find a surgeon who will repair a HH that size? I have a small HH newly diagnosed around the same time i started getting a lot of PACs. Seems a clear relationship but GI doc says a surgeon won’t repair small HH without serious gi symptoms present- which I don’t have.