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Wandering atrial pacemaker

MedGen UID:
231159
•Concept ID:
C1321523
•
Pathologic Function
Synonyms: Wandering Atrial Pacemaker; Wandering Atrial Pacemaker by ECG Finding; Wandering Atrial Pacemaker by EKG Finding
SNOMED CT: Wandering atrial pacemaker (195101003)

Definition

An electrocardiographic finding of a supraventricular arrhythmia characterized by 3 or more distinct P wave morphologies with an isoelectric baseline, variable PR intervals and no predominant atrial rhythm. The ventricular rate is typically below 100 beats per minute. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVWandering atrial pacemaker

Professional guidelines

PubMed

Prenatal diagnosis of sustained bradycardia with 1 : 1 atrioventricular conduction.
Maeno Y, Rikitake N, Toyoda O, Kiyomatsu Y, Miyake T, Himeno W, Hirose A, Hori D, Kamura T, Kato H
Ultrasound Obstet Gynecol 2003 Mar;21(3):234-8. doi: 10.1002/uog.71. PMID: 12666216

Recent clinical studies

Etiology

At-home ECG monitoring with a real-time outpatient cardiac telemetry system during the COVID-19 pandemic.
Jaramillo N, Malkov D, Nikakis J, Arora US, Cohen TJ
J Osteopath Med 2022 Oct 1;122(10):503-508. Epub 2022 Aug 10 doi: 10.1515/jom-2022-0007. PMID: 35946871
Atrial myocardial infarction: A tale of the forgotten chamber.
Lu ML, De Venecia T, Patnaik S, Figueredo VM
Int J Cardiol 2016 Jan 1;202:904-9. Epub 2015 Oct 9 doi: 10.1016/j.ijcard.2015.10.070. PMID: 26485186
Ectopic atrial rhythm is a preablation predictor of atrioventricular nodal reentrant tachycardia in children.
Miyake CY, Cecchin F, Walsh EP, Berul CI
Pediatr Cardiol 2008 Nov;29(6):1066-70. Epub 2008 Jun 28 doi: 10.1007/s00246-008-9255-7. PMID: 18587606
Electrocardiographic findings in children with Lyme disease.
Woolf PK, Lorsung EM, Edwards KS, Li KI, Kanengiser SJ, Ruddy RM, Gewitz MH
Pediatr Emerg Care 1991 Dec;7(6):334-6. doi: 10.1097/00006565-199112000-00003. PMID: 1788119
Wandering atrial pacemaker (prevalence in French hornists).
Nizet PM, Borgi JF, Horvath SM
J Electrocardiol 1976;9(1):51-2. doi: 10.1016/s0022-0736(76)80010-6. PMID: 1245812

Diagnosis

At-home ECG monitoring with a real-time outpatient cardiac telemetry system during the COVID-19 pandemic.
Jaramillo N, Malkov D, Nikakis J, Arora US, Cohen TJ
J Osteopath Med 2022 Oct 1;122(10):503-508. Epub 2022 Aug 10 doi: 10.1515/jom-2022-0007. PMID: 35946871
Atrial myocardial infarction: A tale of the forgotten chamber.
Lu ML, De Venecia T, Patnaik S, Figueredo VM
Int J Cardiol 2016 Jan 1;202:904-9. Epub 2015 Oct 9 doi: 10.1016/j.ijcard.2015.10.070. PMID: 26485186
Wandering atrial pacemaker and multifocal ectopic atrial tachycardia.
Hannibal GB
AACN Adv Crit Care 2015 Jan-Mar;26(1):73-6. doi: 10.1097/NCI.0000000000000060. PMID: 25594484
Wandering atrial pacemaker.
Snowberger P
RN 1991 Sep;54(9):36-7. PMID: 1887206
Wandering atrial pacemaker associated with repetitive respiratory strain.
Borgia JF, Nizet PM, Gliner JA, Horvath SM
Cardiology 1982;69(2):70-3. doi: 10.1159/000173486. PMID: 7105070

Therapy

Persistent wandering atrial pacemaker after epinephrine overdosing - a case report.
Aburawi EH, Narchi H, Souid AK
BMC Pediatr 2013 Jan 2;13:1. doi: 10.1186/1471-2431-13-1. PMID: 23281628Free PMC Article
Electrocardiographic findings in children with Lyme disease.
Woolf PK, Lorsung EM, Edwards KS, Li KI, Kanengiser SJ, Ruddy RM, Gewitz MH
Pediatr Emerg Care 1991 Dec;7(6):334-6. doi: 10.1097/00006565-199112000-00003. PMID: 1788119
Sick sinus syndrome. Symptomatic cases in children.
Radford DJ, Izukawa T
Arch Dis Child 1975 Nov;50(11):879-85. doi: 10.1136/adc.50.11.879. PMID: 1211960Free PMC Article

Prognosis

Ectopic atrial rhythm is a preablation predictor of atrioventricular nodal reentrant tachycardia in children.
Miyake CY, Cecchin F, Walsh EP, Berul CI
Pediatr Cardiol 2008 Nov;29(6):1066-70. Epub 2008 Jun 28 doi: 10.1007/s00246-008-9255-7. PMID: 18587606

Clinical prediction guides

At-home ECG monitoring with a real-time outpatient cardiac telemetry system during the COVID-19 pandemic.
Jaramillo N, Malkov D, Nikakis J, Arora US, Cohen TJ
J Osteopath Med 2022 Oct 1;122(10):503-508. Epub 2022 Aug 10 doi: 10.1515/jom-2022-0007. PMID: 35946871
Ectopic atrial rhythm is a preablation predictor of atrioventricular nodal reentrant tachycardia in children.
Miyake CY, Cecchin F, Walsh EP, Berul CI
Pediatr Cardiol 2008 Nov;29(6):1066-70. Epub 2008 Jun 28 doi: 10.1007/s00246-008-9255-7. PMID: 18587606
Newborns of Chinese mother with systemic lupus erythematosus (SLE).
Fu LS, Hwang B, Lee BH
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1992 Sep-Oct;33(5):341-9. PMID: 1296444
Electrocardiographic changes associated with multiple yellow jacket stings.
Rowe SF, Greer KE, Hodge RH Jr
South Med J 1979 Apr;72(4):483-5. doi: 10.1097/00007611-197904000-00030. PMID: 432690

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