U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Tachycardia, Sinoatrial Nodal Reentry

MedGen UID:
11699
•Concept ID:
C0039238
•
Disease or Syndrome
Synonyms: Sinoatrial Nodal Reentry Tachycardia; Sinus Node Reentrant Tachycardia; Tachycardia, SA Nodal Reentrant

Definition

Abnormally rapid heartbeats caused by reentry circuit in or around the SINOATRIAL NODE. It is characterized by sudden onset and offset episodes of tachycardia with a HEART RATE of 100-150 beats per minute. The P wave is identical to the sinus P wave but with a longer PR interval. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTachycardia, Sinoatrial Nodal Reentry

Professional guidelines

PubMed

Mechanism and treatment of arrhythmias in the single ventricle patient: focus on intraatrial reentry.
Saul JP
Heart Rhythm 2008 Nov;5(11):1615-8. Epub 2008 Jun 4 doi: 10.1016/j.hrthm.2008.06.003. PMID: 18819849
Role of adenosine in the diagnosis and treatment of tachyarrhythmias in pediatric patients.
Lenk M, Celiker A, Alehan D, Koçak G, Ozme S
Acta Paediatr Jpn 1997 Oct;39(5):570-7. doi: 10.1111/j.1442-200x.1997.tb03643.x. PMID: 9363655
Supraventricular tachycardia: diagnosis and treatment.
Dreifus LS, Hessen SE
Cardiology 1990;77(3):259-68. doi: 10.1159/000174606. PMID: 2272062

Recent clinical studies

Etiology

Mechanisms of Intra-Atrial Re-Entrant Tachycardias in Congenital Heart Disease: Types and Predictors.
Roca-Luque I, Rivas-Gándara N, Subirà LD, Francisco-Pascual J, Pijuan-Domenech A, Pérez-Rodon J, Teresa-Subirana M, Santos-Ortega A, Rosés-Noguer F, Ferrer JC, Ferreira-Gonzalez I, García-Dorado García D, Mitjans AM
Am J Cardiol 2018 Aug 15;122(4):672-682. Epub 2018 Jun 20 doi: 10.1016/j.amjcard.2018.04.041. PMID: 30001804
Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
Coronary sinus activation pattern in the differential diagnosis of regular atrial tachyarrhythmias during catheter ablation of atrial fibrillation.
Kim KH, Nam GB, Jin ES, Kim DK, Seol SH, Kim DI, Choi H, Kim YR, Kim SH, Choi KJ, Kim YH
Circ J 2013;77(3):619-25. Epub 2012 Nov 30 doi: 10.1253/circj.cj-12-0753. PMID: 23196754
Adenosine as an antiarrhythmic agent.
Wilbur SL, Marchlinski FE
Am J Cardiol 1997 Jun 19;79(12A):30-7. doi: 10.1016/s0002-9149(97)00261-0. PMID: 9223361
Complications of chest thump for termination of supraventricular tachycardia in children.
Müller GI, Ulmer HE, Bauer JA
Eur J Pediatr 1992 Jan;151(1):12-4. doi: 10.1007/BF02073881. PMID: 1728536

Diagnosis

AVNRT captured by smartphone ECG device.
Yalın K, Bilge AK, İkitimur B, Öngen Z
Turk Kardiyol Dern Ars 2021 Sep;49(6):513. doi: 10.5543/tkda.2021.02452. PMID: 34523602
Supraventricular tachydysrhythmias in the emergency department.
Clark DD, McGuire M, Jones M, Bruner H, Bruner D
Emerg Med Pract 2020 Aug;22(8):1-28. Epub 2020 Aug 1 PMID: 32678566
An Unusual Occurrence of Dual Tachycardia.
Rosenblum AM, Rosenblum AL
JAMA Intern Med 2018 Aug 1;178(8):1113-1114. doi: 10.1001/jamainternmed.2018.2393. PMID: 29889924
Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
An unusual pacemaker migration.
Garcia R, Degand B
Indian Heart J 2016 Sep;68 Suppl 2(Suppl 2):S228. Epub 2016 Jun 15 doi: 10.1016/j.ihj.2016.06.003. PMID: 27751298Free PMC Article

Therapy

Supraventricular tachydysrhythmias in the emergency department.
Clark DD, McGuire M, Jones M, Bruner H, Bruner D
Emerg Med Pract 2020 Aug;22(8):1-28. Epub 2020 Aug 1 PMID: 32678566
An unusual pacemaker migration.
Garcia R, Degand B
Indian Heart J 2016 Sep;68 Suppl 2(Suppl 2):S228. Epub 2016 Jun 15 doi: 10.1016/j.ihj.2016.06.003. PMID: 27751298Free PMC Article
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
Sinus node reentrant tachycardia in a neonate.
Ozer S, Schaffer M
Pacing Clin Electrophysiol 2001 Jun;24(6):1038-40. doi: 10.1046/j.1460-9592.2001.01038.x. PMID: 11449583
Adenosine as an antiarrhythmic agent.
Wilbur SL, Marchlinski FE
Am J Cardiol 1997 Jun 19;79(12A):30-7. doi: 10.1016/s0002-9149(97)00261-0. PMID: 9223361

Prognosis

Mechanisms of Intra-Atrial Re-Entrant Tachycardias in Congenital Heart Disease: Types and Predictors.
Roca-Luque I, Rivas-Gándara N, Subirà LD, Francisco-Pascual J, Pijuan-Domenech A, Pérez-Rodon J, Teresa-Subirana M, Santos-Ortega A, Rosés-Noguer F, Ferrer JC, Ferreira-Gonzalez I, García-Dorado García D, Mitjans AM
Am J Cardiol 2018 Aug 15;122(4):672-682. Epub 2018 Jun 20 doi: 10.1016/j.amjcard.2018.04.041. PMID: 30001804
Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
Coronary sinus activation pattern in the differential diagnosis of regular atrial tachyarrhythmias during catheter ablation of atrial fibrillation.
Kim KH, Nam GB, Jin ES, Kim DK, Seol SH, Kim DI, Choi H, Kim YR, Kim SH, Choi KJ, Kim YH
Circ J 2013;77(3):619-25. Epub 2012 Nov 30 doi: 10.1253/circj.cj-12-0753. PMID: 23196754
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
Radiofrequency catheter ablation of atrial tachycardia and atrial flutter.
Simons GR, Wharton JM
Coron Artery Dis 1996 Jan;7(1):12-9. PMID: 8773428

Clinical prediction guides

Supraventricular tachydysrhythmias in the emergency department.
Clark DD, McGuire M, Jones M, Bruner H, Bruner D
Emerg Med Pract 2020 Aug;22(8):1-28. Epub 2020 Aug 1 PMID: 32678566
Mechanisms of Intra-Atrial Re-Entrant Tachycardias in Congenital Heart Disease: Types and Predictors.
Roca-Luque I, Rivas-Gándara N, Subirà LD, Francisco-Pascual J, Pijuan-Domenech A, Pérez-Rodon J, Teresa-Subirana M, Santos-Ortega A, Rosés-Noguer F, Ferrer JC, Ferreira-Gonzalez I, García-Dorado García D, Mitjans AM
Am J Cardiol 2018 Aug 15;122(4):672-682. Epub 2018 Jun 20 doi: 10.1016/j.amjcard.2018.04.041. PMID: 30001804
Intra-atrial reentrant tachycardia in adult patients after Fontan operation.
Song MK, Bae EJ, Kwon BS, Kim GB, Noh CI, Choi JY, Kim WH, Lee JR, Kim YJ
Int J Cardiol 2015;187:157-63. Epub 2015 Mar 17 doi: 10.1016/j.ijcard.2015.03.157. PMID: 25828344
Coronary sinus activation pattern in the differential diagnosis of regular atrial tachyarrhythmias during catheter ablation of atrial fibrillation.
Kim KH, Nam GB, Jin ES, Kim DK, Seol SH, Kim DI, Choi H, Kim YR, Kim SH, Choi KJ, Kim YH
Circ J 2013;77(3):619-25. Epub 2012 Nov 30 doi: 10.1253/circj.cj-12-0753. PMID: 23196754
Computer simulation of the reentrant cardiac arrhythmias in ischemic myocardium.
Zhang H, Yang L, Jin YB, Zhang ZX, Huang YZ
Chin J Physiol 2005 Sep 30;48(3):155-9. PMID: 16304842

Supplemental Content

Table of contents

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Related information

    • MeSH
      Related Medical Subject Headings
    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...