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Atrial arrhythmia

MedGen UID:
39317
Concept ID:
C0085611
Pathologic Function
Synonym: Atrial arrhythmias
SNOMED CT: Atrial arrhythmia (17366009)
 
HPO: HP:0001692

Definition

A type of supraventricular tachycardia in which the atria are the principal site of electrophysiologic disturbance. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAtrial arrhythmia

Conditions with this feature

Congenital heart block
MedGen UID:
57432
Concept ID:
C0149530
Disease or Syndrome
Congenital heart block (CHB) is a rare disorder of atrioventricular conduction, characterized by absence of conduction of atrial impulses to the ventricles with slower ventricular rhythm (atrioventricular dissociation). CHB can occur in association with immunological evidence of maternal connective disease (autoimmune CHD), fetal structural CHD or can be idiopathic.
Atrial standstill 2
MedGen UID:
816731
Concept ID:
C3810401
Disease or Syndrome
Atrial standstill (AS) is a rare condition characterized by the absence of electrical and mechanical activity in the atria. On surface ECG, AS is distinguished by bradycardia, junctional (usually narrow complex) escape rhythm, and absence of the P wave. Nearly 50% of patients with AS experience syncope. AS can be persistent or transient, and diffuse or partial (summary by Fazelifar et al., 2005).
Atrial conduction disease
MedGen UID:
863722
Concept ID:
C4015285
Disease or Syndrome
A rare genetic cardiac disease characterized by variably expressed atrial tachyarrhythmia (such as atrial flutter, paroxysmal or chronic atrial fibrillation, ectopic atrial tachycardia, or multifocal atrial tachycardia), infra-Hisian conduction system disease, and vulnerability to dilated cardiomyopathy. Age of onset ranges between childhood and adulthood.
X-linked Emery-Dreifuss muscular dystrophy
MedGen UID:
1720295
Concept ID:
C5243475
Disease or Syndrome
Emery-Dreifuss muscular dystrophy (EDMD) is characterized by the clinical triad of: joint contractures that begin in early childhood; slowly progressive muscle weakness and wasting initially in a humero-peroneal distribution that later extends to the scapular and pelvic girdle muscles; and cardiac involvement that may manifest as palpitations, presyncope and syncope, poor exercise tolerance, and congestive heart failure along with variable cardiac rhythm disturbances. Age of onset, severity, and progression of muscle and cardiac involvement demonstrate both inter- and intrafamilial variability. Clinical variability ranges from early onset with severe presentation in childhood to late onset with slow progression in adulthood. In general, joint contractures appear during the first two decades, followed by muscle weakness and wasting. Cardiac involvement usually occurs after the second decade and respiratory function may be impaired in some individuals.

Professional guidelines

PubMed

Mao YJ, Wang H, Chen JX, Huang PF
Rev Cardiovasc Med 2020 Sep 30;21(3):419-432. doi: 10.31083/j.rcm.2020.03.60. PMID: 33070546
Guzik TJ, Mohiddin SA, Dimarco A, Patel V, Savvatis K, Marelli-Berg FM, Madhur MS, Tomaszewski M, Maffia P, D'Acquisto F, Nicklin SA, Marian AJ, Nosalski R, Murray EC, Guzik B, Berry C, Touyz RM, Kreutz R, Wang DW, Bhella D, Sagliocco O, Crea F, Thomson EC, McInnes IB
Cardiovasc Res 2020 Aug 1;116(10):1666-1687. doi: 10.1093/cvr/cvaa106. PMID: 32352535Free PMC Article
Guenancia C, Garnier F, Fichot M, Sagnard A, Laurent G, Lorgis L
Future Cardiol 2020 Mar;16(2):133-142. Epub 2020 Mar 3 doi: 10.2217/fca-2019-0066. PMID: 32125174

Recent clinical studies

Etiology

Kistler PM, Chieng D, Sugumar H, Ling LH, Segan L, Azzopardi S, Al-Kaisey A, Parameswaran R, Anderson RD, Hawson J, Prabhu S, Voskoboinik A, Wong G, Morton JB, Pathik B, McLellan AJ, Lee G, Wong M, Finch S, Pathak RK, Raja DC, Sterns L, Ginks M, Reid CM, Sanders P, Kalman JM
JAMA 2023 Jan 10;329(2):127-135. doi: 10.1001/jama.2022.23722. PMID: 36625809Free PMC Article
Giannone ME, Filippini T, Whelton PK, Chiari A, Vitolo M, Boriani G, Vinceti M
J Am Heart Assoc 2022 Jul 19;11(14):e025653. Epub 2022 Jul 15 doi: 10.1161/JAHA.122.025653. PMID: 35861843Free PMC Article
Marrouche NF, Wazni O, McGann C, Greene T, Dean JM, Dagher L, Kholmovski E, Mansour M, Marchlinski F, Wilber D, Hindricks G, Mahnkopf C, Wells D, Jais P, Sanders P, Brachmann J, Bax JJ, Morrison-de Boer L, Deneke T, Calkins H, Sohns C, Akoum N; DECAAF II Investigators
JAMA 2022 Jun 21;327(23):2296-2305. doi: 10.1001/jama.2022.8831. PMID: 35727277Free PMC Article
Wazni OM, Dandamudi G, Sood N, Hoyt R, Tyler J, Durrani S, Niebauer M, Makati K, Halperin B, Gauri A, Morales G, Shao M, Cerkvenik J, Kaplon RE, Nissen SE; STOP AF First Trial Investigators
N Engl J Med 2021 Jan 28;384(4):316-324. Epub 2020 Nov 16 doi: 10.1056/NEJMoa2029554. PMID: 33197158
Gawałko M, Balsam P, Lodziński P, Grabowski M, Krzowski B, Opolski G, Kosiuk J
Circ J 2020 Apr 24;84(5):685-694. Epub 2020 Feb 26 doi: 10.1253/circj.CJ-19-0705. PMID: 32101812

Diagnosis

Giannone ME, Filippini T, Whelton PK, Chiari A, Vitolo M, Boriani G, Vinceti M
J Am Heart Assoc 2022 Jul 19;11(14):e025653. Epub 2022 Jul 15 doi: 10.1161/JAHA.122.025653. PMID: 35861843Free PMC Article
Borquez AA, Williams MR
Pediatr Ann 2021 Mar;50(3):e113-e120. Epub 2021 Mar 1 doi: 10.3928/19382359-20210217-01. PMID: 34038647
Feld GK
Heart Rhythm 2021 Jul;18(7):1239-1240. Epub 2021 Apr 15 doi: 10.1016/j.hrthm.2021.04.005. PMID: 33845215
Bradley EA, Zaidi AN
Cardiol Clin 2020 Aug;38(3):317-324. Epub 2020 Jun 6 doi: 10.1016/j.ccl.2020.04.001. PMID: 32622487
Sucu M, Davutoglu V, Ozer O
Ann Saudi Med 2009 May-Jun;29(3):201-6. doi: 10.4103/0256-4947.51775. PMID: 19448376Free PMC Article

Therapy

Kistler PM, Chieng D, Sugumar H, Ling LH, Segan L, Azzopardi S, Al-Kaisey A, Parameswaran R, Anderson RD, Hawson J, Prabhu S, Voskoboinik A, Wong G, Morton JB, Pathik B, McLellan AJ, Lee G, Wong M, Finch S, Pathak RK, Raja DC, Sterns L, Ginks M, Reid CM, Sanders P, Kalman JM
JAMA 2023 Jan 10;329(2):127-135. doi: 10.1001/jama.2022.23722. PMID: 36625809Free PMC Article
Marrouche NF, Wazni O, McGann C, Greene T, Dean JM, Dagher L, Kholmovski E, Mansour M, Marchlinski F, Wilber D, Hindricks G, Mahnkopf C, Wells D, Jais P, Sanders P, Brachmann J, Bax JJ, Morrison-de Boer L, Deneke T, Calkins H, Sohns C, Akoum N; DECAAF II Investigators
JAMA 2022 Jun 21;327(23):2296-2305. doi: 10.1001/jama.2022.8831. PMID: 35727277Free PMC Article
Reddy VY, Dukkipati SR, Neuzil P, Anic A, Petru J, Funasako M, Cochet H, Minami K, Breskovic T, Sikiric I, Sediva L, Chovanec M, Koruth J, Jais P
JACC Clin Electrophysiol 2021 May;7(5):614-627. Epub 2021 Apr 28 doi: 10.1016/j.jacep.2021.02.014. PMID: 33933412
Wazni OM, Dandamudi G, Sood N, Hoyt R, Tyler J, Durrani S, Niebauer M, Makati K, Halperin B, Gauri A, Morales G, Shao M, Cerkvenik J, Kaplon RE, Nissen SE; STOP AF First Trial Investigators
N Engl J Med 2021 Jan 28;384(4):316-324. Epub 2020 Nov 16 doi: 10.1056/NEJMoa2029554. PMID: 33197158
Gawałko M, Balsam P, Lodziński P, Grabowski M, Krzowski B, Opolski G, Kosiuk J
Circ J 2020 Apr 24;84(5):685-694. Epub 2020 Feb 26 doi: 10.1253/circj.CJ-19-0705. PMID: 32101812

Prognosis

Broberg CS, van Dissel A, Minnier J, Aboulhosn J, Kauling RM, Ginde S, Krieger EV, Rodriguez F 3rd, Gupta T, Shah S, John AS, Cotts T, Kay WA, Kuo M, Dwight C, Woods P, Nicolarsen J, Sarubbi B, Fusco F, Antonova P, Fernandes S, Grewal J, Cramer J, Khairy P, Gallego P, O'Donnell C, Hannah J, Dellborg M, Rodriguez-Monserrate CP, Muhll IV, Pylypchuk S, Magalski A, Han F, Lubert AM, Kay J, Yeung E, Roos-Hesselink J, Baker D, Celermajer DS, Burchill LJ, Wilson WM, Wong J, Kutty S, Opotowsky AR
J Am Coll Cardiol 2022 Sep 6;80(10):951-963. doi: 10.1016/j.jacc.2022.06.020. PMID: 36049802
Tan X, Xian W, Li X, Chen Y, Geng J, Wang Q, Gao Q, Tang B, Wang H, Kang P
Sci Rep 2022 Jun 13;12(1):9777. doi: 10.1038/s41598-022-13911-w. PMID: 35697725Free PMC Article
Gawałko M, Balsam P, Lodziński P, Grabowski M, Krzowski B, Opolski G, Kosiuk J
Circ J 2020 Apr 24;84(5):685-694. Epub 2020 Feb 26 doi: 10.1253/circj.CJ-19-0705. PMID: 32101812
Uemura H
Herzschrittmacherther Elektrophysiol 2016 Jun;27(2):137-42. Epub 2016 May 25 doi: 10.1007/s00399-016-0434-6. PMID: 27225164
Marrakchi S, Kanoun F, Idriss S, Kammoun I, Kachboura S
Herz 2015 Apr;40 Suppl 2:101-9. Epub 2014 Jul 4 doi: 10.1007/s00059-014-4123-0. PMID: 24990773

Clinical prediction guides

Broberg CS, van Dissel A, Minnier J, Aboulhosn J, Kauling RM, Ginde S, Krieger EV, Rodriguez F 3rd, Gupta T, Shah S, John AS, Cotts T, Kay WA, Kuo M, Dwight C, Woods P, Nicolarsen J, Sarubbi B, Fusco F, Antonova P, Fernandes S, Grewal J, Cramer J, Khairy P, Gallego P, O'Donnell C, Hannah J, Dellborg M, Rodriguez-Monserrate CP, Muhll IV, Pylypchuk S, Magalski A, Han F, Lubert AM, Kay J, Yeung E, Roos-Hesselink J, Baker D, Celermajer DS, Burchill LJ, Wilson WM, Wong J, Kutty S, Opotowsky AR
J Am Coll Cardiol 2022 Sep 6;80(10):951-963. doi: 10.1016/j.jacc.2022.06.020. PMID: 36049802
Tan X, Xian W, Li X, Chen Y, Geng J, Wang Q, Gao Q, Tang B, Wang H, Kang P
Sci Rep 2022 Jun 13;12(1):9777. doi: 10.1038/s41598-022-13911-w. PMID: 35697725Free PMC Article
Pensa AV, Baman JR, Puckelwartz MJ, Wilcox JE
J Cardiovasc Electrophysiol 2022 Aug;33(8):1944-1953. Epub 2022 Mar 19 doi: 10.1111/jce.15446. PMID: 35262243
Mao YJ, Wang H, Chen JX, Huang PF
Rev Cardiovasc Med 2020 Sep 30;21(3):419-432. doi: 10.31083/j.rcm.2020.03.60. PMID: 33070546
Gawałko M, Balsam P, Lodziński P, Grabowski M, Krzowski B, Opolski G, Kosiuk J
Circ J 2020 Apr 24;84(5):685-694. Epub 2020 Feb 26 doi: 10.1253/circj.CJ-19-0705. PMID: 32101812

Recent systematic reviews

Giannone ME, Filippini T, Whelton PK, Chiari A, Vitolo M, Boriani G, Vinceti M
J Am Heart Assoc 2022 Jul 19;11(14):e025653. Epub 2022 Jul 15 doi: 10.1161/JAHA.122.025653. PMID: 35861843Free PMC Article
Turagam MK, Musikantow D, Whang W, Koruth JS, Miller MA, Langan MN, Sofi A, Choudry S, Dukkipati SR, Reddy VY
JAMA Cardiol 2021 Jun 1;6(6):697-705. doi: 10.1001/jamacardio.2021.0852. PMID: 33909022Free PMC Article
Mao YJ, Wang H, Chen JX, Huang PF
Rev Cardiovasc Med 2020 Sep 30;21(3):419-432. doi: 10.31083/j.rcm.2020.03.60. PMID: 33070546
Rujirachun P, Wattanachayakul P, Charoenngam N, Winijkul A, Ungprasert P
J Cardiovasc Med (Hagerstown) 2020 May;21(5):368-376. doi: 10.2459/JCM.0000000000000962. PMID: 32243340
Gaeta M, Bandera F, Tassinari F, Capasso L, Cargnelutti M, Pelissero G, Malavazos AE, Ricci C
Europace 2017 May 1;19(5):747-752. doi: 10.1093/europace/euw398. PMID: 28087595

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