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[Music] hi my name is dr ross hauser welcome to caring medical florida in fort myers florida one of the scariest effects of cervical instability is how it affects the heart ive had patients who have made emergency room visits on numerous occasions because they thought they were having a heart attack or a heart arrhythmia and their hearts going boom boom boom boom its fluttering theyre getting palpitations they get sweaty and so today we want to talk about how cervical instability affects the heart and one of the more common conditions we see is postural orthostatic tachycardia syndrome this is just a really good summary of the how the vagus nerve and the glossopharyngeal nerve uh monitor the blood pressure and pulse in the body for those who have seen me before know that the vagus nerve and glossal pharyngeal nerve are in the carotid sheath and the carotid sheath is right where you feel the carotid artery pulse and it runs right in front of the cervical vertebrae here so if people