Abstract
With interest we read the article by de Vos et al. 1 about the characteristics, demographics, treatment, and outcome of patients with paroxysmal atrial fibrillation (AF), classified as vagal, adrenergic, or mixed. The study raises the following concerns. If pathology of the vagal nerve is suspected to be involved in the pathogenesis of AF, all these patients need to be investigated by a neurologist. Since the tenth cranial nerve receives cerebral and spinal afferents, originates in the brainstem and carries motor, sensory, and parasympatomimetic fibres, the neurological investigation should be directed towards detection of innervation abnormalities of …
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