Hi Steve – Sorry to read you are still plagued by this. As you mention, the Hiatal hernia is undoubtedly contributing.
Back in 2003, Steve Rochlitz, PhD wrote a report on Hiatal Hernia and Vagus Nerve involvement and also a book on that topic. In fact, last year, I recommended that source to you in response to your post back then. You can probably find it in Google search… but the following excerpt is enpointe for you since we know any time the vagus is irritated, it can contribute to arrhythmia symptoms. I have the report in pdf file, so send me an email if you’d like the document.
It’s logical to me that since you are an avid golfer, the repetitive swing motion and the stress of midsection torquing could eventually impact and irritate the vagus via impingement. Tachycardia is listed as one of many symptoms of vagus nerve imbalance.
He writes:
The biochemist Carey Reams, PhD, said, "Illness begins with the Vagus Nerve." The Hiatal Hernia Syndrome (HHS)--by pinching the Vagus Nerve--causes Vagus Nerve Imbalance (VNI). This imbalance is usually a hyperexcitability, but a decreased energy state is also possible at some point in time. In a Hiatus Hernia, or Hiatal Hernia, the upper portion of the stomach protrudes through the opening (hiatus) in the diaphragm muscle. I urge the reader to go beyond any preconceived notions that this condition only causes GERD (acid reflux) and minor discomfort, and to read this article in its entirety before judging this work. My own recent research will be described for the first time, after reviewing one pioneering clinician's findings.
This article will reveal how this condition, Vagus Nerve Imbalance/ Hiatal Hernia Syndrome, which I will abbreviate as VNI/HHS, can cause so many other maladies and symptoms, and how it can cause many other organs to malfunction.
Best to you,
Jackie