
Rectal exam unexpectedly slows AFib heartbeat in case report
A 29-year-old man with atrial fibrillation experienced a racing heartbeat at hospital admission. A routine digital rectal exam, combined with a Valsalva maneuver, is thought to have stimulated the vagus nerve and slowed his heart rate to about 80 bpm, with the irregular rhythm resolving and not returning months later. Standard AFib treatments typically involve medications or electrical cardioversion; this rectal-exam approach is not established therapy and requires more research. The patient was also prescribed an anticoagulant to prevent clots.












