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Sinus arrhythmia

MedGen UID:: 398
•Concept ID:: C0003813
•: Finding

Synonyms:	Arrhythmia, Sinoatrial; Arrhythmia, Sinus; Arrhythmias, Sinoatrial; Arrhythmias, Sinus; Sinoatrial Arrhythmia; Sinoatrial Arrhythmias; Sinus Arrhythmia; Sinus Arrhythmias
SNOMED CT:	Sinus arrhythmia (71792006)

Definition

An electrocardiographic finding in which the sinus rate fluctuates with the respiratory cycle. (CDISC) [from NCI]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVSinus arrhythmia

Abnormality of the cardiovascular system
- Abnormal cardiovascular system physiology
  - Abnormality of cardiovascular system electrophysiology
    - Cardiac arrhythmia
      - Supraventricular arrhythmia
        Atrial arrhythmia
        Sinus arrhythmia
        Sick sinus syndrome
        Familial sick sinus syndrome
        Sick sinus syndrome 1
        Sick sinus syndrome 2, autosomal dominant
        Sick sinus syndrome 3, susceptibility to
        Sinus Arrest, Cardiac

Professional guidelines

PubMed

Frustration, Cognition, and Psychophysiology in Dysregulated Children: A Research Domain Criteria Approach.

Ametti MR, Crehan ET, O'Loughlin K, Schreck MC, Dube SL, Potter AS, Sigmon SC, Althoff RR
J Am Acad Child Adolesc Psychiatry 2022 Jun;61(6):796-808.e2. Epub 2022 Jan 22 doi: 10.1016/j.jaac.2021.11.033. PMID: 35074486 Free PMC Article

Respiratory sinus arrhythmia as a potential measure in substance use treatment--outcome studies.

Price CJ, Crowell SE
Addiction 2016 Apr;111(4):615-25. Epub 2016 Jan 5 doi: 10.1111/add.13232. PMID: 26567088 Free PMC Article

Attachment style and respiratory sinus arrhythmia predict post-treatment quality of life in breast cancer survivors.

Fagundes CP, Jaremka LM, Malarkey WB, Kiecolt-Glaser JK
Psychooncology 2014 Jul;23(7):820-6. Epub 2014 Feb 17 doi: 10.1002/pon.3492. PMID: 24532423 Free PMC Article

See all (21)

Recent clinical studies

Etiology

Awe Sparks Prosociality in Children.

Stamkou E, Brummelman E, Dunham R, Nikolic M, Keltner D
Psychol Sci 2023 Apr;34(4):455-467. Epub 2023 Feb 6 doi: 10.1177/09567976221150616. PMID: 36745740

A study of respiratory sinus arrhythmia and stuttering persistence.

Pruett DG, Porges SW, Walden TA, Jones RM
J Commun Disord 2023 Mar-Apr;102:106304. Epub 2023 Feb 2 doi: 10.1016/j.jcomdis.2023.106304. PMID: 36738522 Free PMC Article

The Opposite of Stress.

Meier M, Unternaehrer E, Schorpp SM, Wenzel M, Benz A, Bentele UU, Dimitroff SJ, Denk B, Prüssner JC
Exp Psychol 2020 Mar;67(2):150-159. doi: 10.1027/1618-3169/a000483. PMID: 32729407

The "Heart" of depression during early adolescence.

Tu KM, Li X, Cohen JR
Dev Psychobiol 2019 Dec;61(8):1168-1179. Epub 2019 May 12 doi: 10.1002/dev.21862. PMID: 31079424

Interoception and respiratory sinus arrhythmia in gambling disorder.

Kennedy D, Goshko CB, Murch WS, Limbrick-Oldfield EH, Dunn BD, Clark L
Psychophysiology 2019 Jun;56(6):e13333. Epub 2019 Jan 21 doi: 10.1111/psyp.13333. PMID: 30663060

See all (1215)

Diagnosis

Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review.

Schiweck C, Piette D, Berckmans D, Claes S, Vrieze E
Psychol Med 2019 Jan;49(2):200-211. Epub 2018 Aug 23 doi: 10.1017/S0033291718001988. PMID: 30134999

Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects.

Drago F, Battipaglia I, Di Mambro C
Card Electrophysiol Clin 2018 Jun;10(2):397-412. doi: 10.1016/j.ccep.2018.02.008. PMID: 29784491

Cardiorespiratory interactions in humans and animals: rhythms for life.

Elstad M, O'Callaghan EL, Smith AJ, Ben-Tal A, Ramchandra R
Am J Physiol Heart Circ Physiol 2018 Jul 1;315(1):H6-H17. Epub 2018 Mar 9 doi: 10.1152/ajpheart.00701.2017. PMID: 29522373

Whither vagal tone.

Berntson GG, Cacioppo JT, Grossman P
Biol Psychol 2007 Feb;74(2):295-300. Epub 2006 Oct 12 doi: 10.1016/j.biopsycho.2006.08.006. PMID: 17046142

Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm?

Yasuma F, Hayano J
Chest 2004 Feb;125(2):683-90. doi: 10.1378/chest.125.2.683. PMID: 14769752

See all (984)

Therapy

Respiratory Sinus Arrhythmia Change during Trauma-Focused Cognitive-Behavioral Therapy: Results from a Randomized Controlled Feasibility Trial.

Shenk CE, Allen B, Dreschel NA, Wang M, Felt JM, Brown MP, Bucher AM, Chen MJ, Olson AE
Res Child Adolesc Psychopathol 2022 Nov;50(11):1487-1499. Epub 2022 Jun 11 doi: 10.1007/s10802-022-00946-w. PMID: 35689729 Free PMC Article

The Opposite of Stress.

Meier M, Unternaehrer E, Schorpp SM, Wenzel M, Benz A, Bentele UU, Dimitroff SJ, Denk B, Prüssner JC
Exp Psychol 2020 Mar;67(2):150-159. doi: 10.1027/1618-3169/a000483. PMID: 32729407

Development of the cardiac pacemaker.

Liang X, Evans SM, Sun Y
Cell Mol Life Sci 2017 Apr;74(7):1247-1259. Epub 2016 Oct 21 doi: 10.1007/s00018-016-2400-1. PMID: 27770149 Free PMC Article

Respiratory sinus arrhythmia as a potential measure in substance use treatment--outcome studies.

Price CJ, Crowell SE
Addiction 2016 Apr;111(4):615-25. Epub 2016 Jan 5 doi: 10.1111/add.13232. PMID: 26567088 Free PMC Article

Vernakalant.

Dobrev D, Hamad B, Kirkpatrick P
Nat Rev Drug Discov 2010 Dec;9(12):915-6. doi: 10.1038/nrd3323. PMID: 21119728

See all (762)

Prognosis

Attachment avoidance and internalizing symptoms: Does respiratory sinus arrhythmia withdrawal make a difference?

Zhao Y, Xu J, Zhang H
J Affect Disord 2022 Oct 15;315:267-273. Epub 2022 Aug 6 doi: 10.1016/j.jad.2022.07.070. PMID: 35940374

Relationships between respiratory sinus arrhythmia and stress in college students.

Fanning J, Silfer JL, Liu H, Gauvin L, Heilman KJ, Porges SW, Rejeski WJ
J Behav Med 2020 Apr;43(2):308-317. Epub 2019 Oct 12 doi: 10.1007/s10865-019-00103-7. PMID: 31606843 Free PMC Article

Interoception and respiratory sinus arrhythmia in gambling disorder.

Kennedy D, Goshko CB, Murch WS, Limbrick-Oldfield EH, Dunn BD, Clark L
Psychophysiology 2019 Jun;56(6):e13333. Epub 2019 Jan 21 doi: 10.1111/psyp.13333. PMID: 30663060

Cardiorespiratory interactions in humans and animals: rhythms for life.

Elstad M, O'Callaghan EL, Smith AJ, Ben-Tal A, Ramchandra R
Am J Physiol Heart Circ Physiol 2018 Jul 1;315(1):H6-H17. Epub 2018 Mar 9 doi: 10.1152/ajpheart.00701.2017. PMID: 29522373

Postoperative arrhythmia.

Lan YT, Lee JC, Wetzel G
Curr Opin Cardiol 2003 Mar;18(2):73-8. doi: 10.1097/00001573-200303000-00001. PMID: 12652209

See all (792)

Clinical prediction guides

Fundamental challenges and likely refutations of the five basic premises of the polyvagal theory.

Grossman P
Biol Psychol 2023 May;180:108589. Epub 2023 May 24 doi: 10.1016/j.biopsycho.2023.108589. PMID: 37230290

Attachment avoidance and internalizing symptoms: Does respiratory sinus arrhythmia withdrawal make a difference?

Zhao Y, Xu J, Zhang H
J Affect Disord 2022 Oct 15;315:267-273. Epub 2022 Aug 6 doi: 10.1016/j.jad.2022.07.070. PMID: 35940374

Longitudinal associations between adolescents' sleep and adjustment: Respiratory sinus arrhythmia as a moderator.

Philbrook LE, Shimizu M, Erath SA, Hinnant JB, El-Sheikh M
Dev Psychobiol 2021 Dec;63 Suppl 1(Suppl 1):e22220. doi: 10.1002/dev.22220. PMID: 34964495 Free PMC Article

Interoception and respiratory sinus arrhythmia in gambling disorder.

Kennedy D, Goshko CB, Murch WS, Limbrick-Oldfield EH, Dunn BD, Clark L
Psychophysiology 2019 Jun;56(6):e13333. Epub 2019 Jan 21 doi: 10.1111/psyp.13333. PMID: 30663060

Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm?

Yasuma F, Hayano J
Chest 2004 Feb;125(2):683-90. doi: 10.1378/chest.125.2.683. PMID: 14769752

See all (1051)

Recent systematic reviews

Methods for Heart Rate Variability Biofeedback (HRVB): A Systematic Review and Guidelines.

Lalanza JF, Lorente S, Bullich R, García C, Losilla JM, Capdevila L
Appl Psychophysiol Biofeedback 2023 Sep;48(3):275-297. Epub 2023 Mar 14 doi: 10.1007/s10484-023-09582-6. PMID: 36917418 Free PMC Article

Evoking stress reactivity in virtual reality: A systematic review and meta-analysis.

Dammen LV, Finseth TT, McCurdy BH, Barnett NP, Conrady RA, Leach AG, Deick AF, Van Steenis AL, Gardner R, Smith BL, Kay A, Shirtcliff EA
Neurosci Biobehav Rev 2022 Jul;138:104709. Epub 2022 May 26 doi: 10.1016/j.neubiorev.2022.104709. PMID: 35644278

A Systematic Review of Respiratory Sinus Arrhythmia in Romantic Relationships.

Han SC, Baucom B, Timmons AC, Margolin G
Fam Process 2021 Jun;60(2):441-456. Epub 2021 Mar 16 doi: 10.1111/famp.12644. PMID: 33724463 Free PMC Article

Heart rate variability in individuals with autism spectrum disorders: A meta-analysis.

Cheng YC, Huang YC, Huang WL
Neurosci Biobehav Rev 2020 Nov;118:463-471. Epub 2020 Aug 17 doi: 10.1016/j.neubiorev.2020.08.007. PMID: 32818581

Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review.

Schiweck C, Piette D, Berckmans D, Claes S, Vrieze E
Psychol Med 2019 Jan;49(2):200-211. Epub 2018 Aug 23 doi: 10.1017/S0033291718001988. PMID: 30134999

See all (17)

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Sinus arrhythmia

Definition

Term Hierarchy

Professional guidelines

PubMed

Recent clinical studies

Etiology

Diagnosis

Therapy

Prognosis

Clinical prediction guides

Recent systematic reviews

Supplemental Content

Table of contents

Practice guidelines

Related information

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