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Paroxysmal atrial tachycardia

MedGen UID:
10594
Concept ID:
C0030587
Disease or Syndrome
Synonyms: Atrial paroxysmal tachycardia; Paroxysmal Atrial Tachycardia; PAT - paroxysmal atrial tachycardia; True Paroxysmal Atrial Tachycardia
SNOMED CT: Atrial paroxysmal tachycardia (195069001); Paroxysmal atrial tachycardia (195069001); PAT - paroxysmal atrial tachycardia (195069001)
 
HPO: HP:0006671

Definition

A disorder characterized by an electrocardiographic finding of episodic atrial tachycardia with abrupt onset and termination. [from NCI]

Term Hierarchy

Conditions with this feature

Lown-Ganong-Levine syndrome
MedGen UID:
354734
Concept ID:
C1862387
Disease or Syndrome
Lown-Ganong-Levine syndrome is an extremely rare conduction disorder characterized by a short PR interval (less than or equal to 120 ms) with normal QRS complex on electrocardiogram associated with the occurrence of episodes of atrial tachyarrythmias (e.g. atrial fibrillation, atrial tachycardia).
Congenital muscular dystrophy due to LMNA mutation
MedGen UID:
413043
Concept ID:
C2750785
Disease or Syndrome
LMNA-related congenital muscular dystrophy (L-CMD) is a condition that primarily affects muscles used for movement (skeletal muscles). It is part of a group of genetic conditions called congenital muscular dystrophies, which cause weak muscle tone (hypotonia) and muscle wasting (atrophy) beginning very early in life.\n\nIn people with L-CMD, muscle weakness becomes apparent in infancy or early childhood and can worsen quickly. The most severely affected infants develop few motor skills, and they are never able to hold up their heads, roll over, or sit. Less severely affected children may learn to sit, stand, and walk before muscle weakness becomes apparent. First the neck muscles weaken, causing the head to fall forward (dropped-head syndrome). As other skeletal muscles become weaker, these children may ultimately lose the ability to sit, stand, and walk unassisted.\n\nOther features of L-CMD often include spinal rigidity and abnormal curvature of the spine (scoliosis and lordosis); joint deformities (contractures) that restrict movement, particularly in the hips and legs; and an inward-turning foot. People with L-CMD also have an increased risk of heart rhythm abnormalities (arrhythmias).\n\nOver time, muscle weakness causes most infants and children with L-CMD to have trouble eating and breathing. The breathing problems result from restrictive respiratory insufficiency, which occurs when muscles in the chest are weakened and the ribcage becomes increasingly rigid. This problem can be life-threatening, and many affected children require support with a machine to help them breathe (mechanical ventilation).

Professional guidelines

PubMed

Feeley TW
Middle East J Anaesthesiol 1993 Oct;12(3):225-43. PMID: 8289746
Josephson ME, Kastor JA
Ann Intern Med 1977 Sep;87(3):346-58. doi: 10.7326/0003-4819-87-3-346. PMID: 332025
Goyal SL, Lichstein E, Gupta PK, Chadda KD
Am J Med 1975 Apr;58(4):586-90. doi: 10.1016/0002-9343(75)90136-9. PMID: 1124795

Recent clinical studies

Etiology

Liu H, Zhu C, Yang B, Ju W, Chen H, Zhang F, Gu K, Li M, Kojodjojo P, Chen M
J Cardiovasc Electrophysiol 2017 Aug;28(8):885-892. Epub 2017 Jun 8 doi: 10.1111/jce.13255. PMID: 28485510
Chapman DW
Tex Heart Inst J 1994;21(4):267-71. PMID: 7888801Free PMC Article
Pritchett EL, McCarthy EA, Lee KL
Am J Cardiol 1988 Aug 25;62(6):3D-9D. doi: 10.1016/0002-9149(88)90492-4. PMID: 3407600
Rose PG, Strohm PL, Zuspan FP
Am J Obstet Gynecol 1985 Dec 15;153(8):844-7. doi: 10.1016/0002-9378(85)90687-8. PMID: 3934978
Josephson ME, Kastor JA
Ann Intern Med 1977 Sep;87(3):346-58. doi: 10.7326/0003-4819-87-3-346. PMID: 332025

Diagnosis

Hosoe T, Uzu K, Hyogo K, Takahashi R, Tamai S, Nagano T, Shimokawa Y, Ota S, Okubo H, Shimizu H
Intern Med 2022 Dec 1;61(23):3531-3535. Epub 2022 May 14 doi: 10.2169/internalmedicine.9305-21. PMID: 35569981Free PMC Article
Ma G, Brady WJ, Pollack M, Chan TC
J Emerg Med 2001 Feb;20(2):145-52. doi: 10.1016/s0736-4679(00)00312-7. PMID: 11207409
Giudici MC, Gumpert TJ, Heathman LL
Am Fam Physician 1994 Mar;49(4):823-34. PMID: 8116517
Stemple DR, Fitzgerald JW, Winkle RA
Ann Intern Med 1977 Jul;87(1):44-8. doi: 10.7326/0003-4819-87-1-44. PMID: 889606
Josephson ME, Kastor JA
Ann Intern Med 1977 Sep;87(3):346-58. doi: 10.7326/0003-4819-87-3-346. PMID: 332025

Therapy

Hosoe T, Uzu K, Hyogo K, Takahashi R, Tamai S, Nagano T, Shimokawa Y, Ota S, Okubo H, Shimizu H
Intern Med 2022 Dec 1;61(23):3531-3535. Epub 2022 May 14 doi: 10.2169/internalmedicine.9305-21. PMID: 35569981Free PMC Article
Ma G, Brady WJ, Pollack M, Chan TC
J Emerg Med 2001 Feb;20(2):145-52. doi: 10.1016/s0736-4679(00)00312-7. PMID: 11207409
Pritchett EL, Lee KL
J Clin Epidemiol 1988;41(9):851-8. doi: 10.1016/0895-4356(88)90101-1. PMID: 3183691
Josephson ME, Kastor JA
Ann Intern Med 1977 Sep;87(3):346-58. doi: 10.7326/0003-4819-87-3-346. PMID: 332025
Radford DJ, Izukawa T, Rowe RD
Arch Dis Child 1976 Aug;51(8):613-7. doi: 10.1136/adc.51.8.613. PMID: 962371Free PMC Article

Prognosis

Liu H, Zhu C, Yang B, Ju W, Chen H, Zhang F, Gu K, Li M, Kojodjojo P, Chen M
J Cardiovasc Electrophysiol 2017 Aug;28(8):885-892. Epub 2017 Jun 8 doi: 10.1111/jce.13255. PMID: 28485510
Leclercq C, Padeletti L, Cihák R, Ritter P, Milasinovic G, Gras D, Paul V, Van Gelder IC, Stellbrink C, Rieger G, Corbucci G, Albers B, Daubert JC; CHAMP Study Investigators
Europace 2010 Jan;12(1):71-7. doi: 10.1093/europace/eup318. PMID: 19864311
Thong T, McNames J, Aboy M, Goldstein B
IEEE Trans Biomed Eng 2004 Apr;51(4):561-9. doi: 10.1109/TBME.2003.821030. PMID: 15072210
Chapman DW
Tex Heart Inst J 1994;21(4):267-71. PMID: 7888801Free PMC Article
Radford DJ, Izukawa T
Pediatrics 1977 Feb;59(2):250-6. PMID: 834508

Clinical prediction guides

Liu H, Zhu C, Yang B, Ju W, Chen H, Zhang F, Gu K, Li M, Kojodjojo P, Chen M
J Cardiovasc Electrophysiol 2017 Aug;28(8):885-892. Epub 2017 Jun 8 doi: 10.1111/jce.13255. PMID: 28485510
Uradu A, Wan J, Doytchinova A, Wright KC, Lin AYT, Chen LS, Shen C, Lin SF, Everett TH 4th, Chen PS
Heart Rhythm 2017 Jul;14(7):964-971. Epub 2017 Mar 24 doi: 10.1016/j.hrthm.2017.03.030. PMID: 28347833Free PMC Article
Thong T, McNames J, Aboy M, Goldstein B
IEEE Trans Biomed Eng 2004 Apr;51(4):561-9. doi: 10.1109/TBME.2003.821030. PMID: 15072210
Zales VR, Dunnigan A, Benson DW Jr
Am J Cardiol 1988 Aug 1;62(4):225-8. doi: 10.1016/0002-9149(88)90216-0. PMID: 3400601
Stemple DR, Fitzgerald JW, Winkle RA
Ann Intern Med 1977 Jul;87(1):44-8. doi: 10.7326/0003-4819-87-1-44. PMID: 889606

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