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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

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

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

Pediatric arrhythmias.

Hanisch D
J Pediatr Nurs 2001 Oct;16(5):351-62. doi: 10.1053/jpdn.2001.26571. PMID: 11598867

Arrhythmias.

Rowland E
J R Soc Med 1994 Feb;87(2):87-90. doi: 10.1177/014107689408700211. PMID: 7515110 Free PMC Article

See all (1192)

Diagnosis

Psychophysiological responses to various slow, deep breathing techniques.

Gholamrezaei A, Van Diest I, Aziz Q, Vlaeyen JWS, Van Oudenhove L
Psychophysiology 2021 Feb;58(2):e13712. Epub 2020 Oct 27 doi: 10.1111/psyp.13712. PMID: 33111377

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

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

Sinus parasystole.

Satullo G, Oreto G, Luzza F, Consolo A, Donato A
Am Heart J 1991 May;121(5):1507-12. doi: 10.1016/0002-8703(91)90159-f. PMID: 1708199

See all (969)

Therapy

Examining transactional associations between maternal internalizing symptoms, infant negative emotionality, and infant respiratory sinus arrhythmia.

Zhou AM, Lytle MN, Youatt EA, Pérez-Edgar K, LoBue V, Buss KA
Biol Psychol 2023 Sep;182:108625. Epub 2023 Jul 8 doi: 10.1016/j.biopsycho.2023.108625. PMID: 37423511 Free PMC Article

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

Pediatric arrhythmias.

Hanisch D
J Pediatr Nurs 2001 Oct;16(5):351-62. doi: 10.1053/jpdn.2001.26571. PMID: 11598867

See all (758)

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

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

Respiratory sinus arrhythmia as a predictor of self-injurious thoughts and behaviors among adolescents.

Wielgus MD, Aldrich JT, Mezulis AH, Crowell SE
Int J Psychophysiol 2016 Aug;106:127-34. Epub 2016 May 20 doi: 10.1016/j.ijpsycho.2016.05.005. PMID: 27212441

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 (774)

Clinical prediction guides

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

The multibranched nerve: vagal function beyond heart rate variability.

Karemaker JM
Biol Psychol 2022 Jul;172:108378. Epub 2022 Jun 7 doi: 10.1016/j.biopsycho.2022.108378. PMID: 35688294

Anthropometric Determinants of Respiratory Sinus Arrhythmia in Children.

Lubocka P, Sabiniewicz R, Suligowska K, Zdrojewski T
Int J Environ Res Public Health 2022 Jan 5;19(1) doi: 10.3390/ijerph19010566. PMID: 35010824 Free PMC Article

Infant respiratory sinus arrhythmia and maternal depressive symptoms predict toddler sleep problems.

Gueron-Sela N, Propper CB, Wagner NJ, Camerota M, Tully KP, Moore GA
Dev Psychobiol 2017 Mar;59(2):261-267. Epub 2016 Oct 18 doi: 10.1002/dev.21480. PMID: 27753070

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 (1024)

Recent systematic reviews

A Systematic Review of a Polyvagal Perspective on Embodied Contemplative Practices as Promoters of Cardiorespiratory Coupling and Traumatic Stress Recovery for PTSD and OCD: Research Methodologies and State of the Art.

Poli A, Gemignani A, Soldani F, Miccoli M
Int J Environ Res Public Health 2021 Nov 10;18(22) doi: 10.3390/ijerph182211778. PMID: 34831534 Free PMC Article

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

Physiological measurement of emotion from infancy to preschool: A systematic review and meta-analysis.

Sacrey LR, Raza S, Armstrong V, Brian JA, Kushki A, Smith IM, Zwaigenbaum L
Brain Behav 2021 Feb;11(2):e01989. Epub 2020 Dec 17 doi: 10.1002/brb3.1989. PMID: 33336555 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 (16)

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