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Irregular heart beat

MedGen UID:
66750
•Concept ID:
C0237314
•
Finding
Synonym: Irregular heartbeat
SNOMED CT: Irregular heart beat (361137007)

Definition

A clinical finding in which the rhythm of the heart is noted to be abnormal. (ACC-AHA) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIrregular heart beat

Professional guidelines

PubMed

Diagnosis of arrhythmogenic cardiomyopathy: The Padua criteria.
Corrado D, Perazzolo Marra M, Zorzi A, Beffagna G, Cipriani A, Lazzari M, Migliore F, Pilichou K, Rampazzo A, Rigato I, Rizzo S, Thiene G, Anastasakis A, Asimaki A, Bucciarelli-Ducci C, Haugaa KH, Marchlinski FE, Mazzanti A, McKenna WJ, Pantazis A, Pelliccia A, Schmied C, Sharma S, Wichter T, Bauce B, Basso C
Int J Cardiol 2020 Nov 15;319:106-114. Epub 2020 Jun 16 doi: 10.1016/j.ijcard.2020.06.005. PMID: 32561223
Congenital heart disease, prenatal diagnosis and management.
Meller CH, Grinenco S, Aiello H, Córdoba A, Sáenz-Tejeira MM, Marantz P, Otaño L
Arch Argent Pediatr 2020 Apr;118(2):e149-e161. doi: 10.5546/aap.2020.eng.e149. PMID: 32199055
Bradyarrhythmias: Clinical Presentation, Diagnosis, and Management.
Wung SF
Crit Care Nurs Clin North Am 2016 Sep;28(3):297-308. Epub 2016 Jun 22 doi: 10.1016/j.cnc.2016.04.003. PMID: 27484658

Recent clinical studies

Etiology

Safety of azithromycin in pediatrics: a systematic review and meta-analysis.
Zeng L, Xu P, Choonara I, Bo Z, Pan X, Li W, Ni X, Xiong T, Chen C, Huang L, Qazi SA, Mu D, Zhang L
Eur J Clin Pharmacol 2020 Dec;76(12):1709-1721. Epub 2020 Jul 17 doi: 10.1007/s00228-020-02956-3. PMID: 32681202Free PMC Article
Frequent premature ventricular beats in healthy children: when to ignore and when to treat?
Cohen MI
Curr Opin Cardiol 2019 Jan;34(1):65-72. doi: 10.1097/HCO.0000000000000581. PMID: 30407229
Prospective randomized evaluation of the watchman left atrial appendage closure device in patients with atrial fibrillation versus long-term warfarin therapy: The PREVAIL trial.
Belgaid DR, Khan Z, Zaidi M, Hobbs A
Int J Cardiol 2016 Sep 15;219:177-9. Epub 2016 Jun 15 doi: 10.1016/j.ijcard.2016.06.041. PMID: 27343417
Frequency and irregularity of heart rate in drivers suspected of driving under the influence of cannabis.
Khiabani HZ, Mørland J, Bramness JG
Eur J Intern Med 2008 Dec;19(8):608-12. Epub 2008 Apr 18 doi: 10.1016/j.ejim.2007.06.031. PMID: 19046727
Panic disorder and somatization. Review of 55 cases.
Katon W
Am J Med 1984 Jul;77(1):101-6. doi: 10.1016/0002-9343(84)90443-1. PMID: 6377887

Diagnosis

Detection of fetal arrhythmia by adaptive single channel electrocardiogram extraction.
Suganthy M, Joy SI, Anandan P
Phys Eng Sci Med 2021 Sep;44(3):683-692. Epub 2021 Jun 25 doi: 10.1007/s13246-021-01016-z. PMID: 34170500
Frequent premature ventricular beats in healthy children: when to ignore and when to treat?
Cohen MI
Curr Opin Cardiol 2019 Jan;34(1):65-72. doi: 10.1097/HCO.0000000000000581. PMID: 30407229
Historical perspectives of cardiac electrophysiology.
Lüderitz B
Hellenic J Cardiol 2009 Jan-Feb;50(1):3-16. PMID: 19196616
Panic disorder and somatization. Review of 55 cases.
Katon W
Am J Med 1984 Jul;77(1):101-6. doi: 10.1016/0002-9343(84)90443-1. PMID: 6377887
Pulmonary embolism.
Gibson RV
Trans Med Soc Lond 1969;85:21-6. PMID: 5353432

Therapy

Safety of azithromycin in pediatrics: a systematic review and meta-analysis.
Zeng L, Xu P, Choonara I, Bo Z, Pan X, Li W, Ni X, Xiong T, Chen C, Huang L, Qazi SA, Mu D, Zhang L
Eur J Clin Pharmacol 2020 Dec;76(12):1709-1721. Epub 2020 Jul 17 doi: 10.1007/s00228-020-02956-3. PMID: 32681202Free PMC Article
Prospective randomized evaluation of the watchman left atrial appendage closure device in patients with atrial fibrillation versus long-term warfarin therapy: The PREVAIL trial.
Belgaid DR, Khan Z, Zaidi M, Hobbs A
Int J Cardiol 2016 Sep 15;219:177-9. Epub 2016 Jun 15 doi: 10.1016/j.ijcard.2016.06.041. PMID: 27343417
Frequency and irregularity of heart rate in drivers suspected of driving under the influence of cannabis.
Khiabani HZ, Mørland J, Bramness JG
Eur J Intern Med 2008 Dec;19(8):608-12. Epub 2008 Apr 18 doi: 10.1016/j.ejim.2007.06.031. PMID: 19046727
Nightmares, cardiac symptoms and the menopause.
Asplund R, Aberg HE
Climacteric 2003 Dec;6(4):314-20. PMID: 15006252
Pulmonary embolism.
Gibson RV
Trans Med Soc Lond 1969;85:21-6. PMID: 5353432

Prognosis

Safety of azithromycin in pediatrics: a systematic review and meta-analysis.
Zeng L, Xu P, Choonara I, Bo Z, Pan X, Li W, Ni X, Xiong T, Chen C, Huang L, Qazi SA, Mu D, Zhang L
Eur J Clin Pharmacol 2020 Dec;76(12):1709-1721. Epub 2020 Jul 17 doi: 10.1007/s00228-020-02956-3. PMID: 32681202Free PMC Article
Frequent premature ventricular beats in healthy children: when to ignore and when to treat?
Cohen MI
Curr Opin Cardiol 2019 Jan;34(1):65-72. doi: 10.1097/HCO.0000000000000581. PMID: 30407229
Ablate and pace strategy for atrial fibrillation: long-term outcome of AIRCRAFT trial.
Lim KT, Davis MJ, Powell A, Arnolda L, Moulden K, Bulsara M, Weerasooriya R
Europace 2007 Jul;9(7):498-505. Epub 2007 May 9 doi: 10.1093/europace/eum091. PMID: 17491103
Does the Prentice criterion validate surrogate endpoints?
Berger VW
Stat Med 2004 May 30;23(10):1571-8. doi: 10.1002/sim.1780. PMID: 15122737
Surgical therapy for atrial fibrillation.
Ferguson TB Jr, Cox JL
Herz 1993 Feb;18(1):39-50. PMID: 8454251

Clinical prediction guides

Historical perspectives of cardiac electrophysiology.
Lüderitz B
Hellenic J Cardiol 2009 Jan-Feb;50(1):3-16. PMID: 19196616
Frequency and irregularity of heart rate in drivers suspected of driving under the influence of cannabis.
Khiabani HZ, Mørland J, Bramness JG
Eur J Intern Med 2008 Dec;19(8):608-12. Epub 2008 Apr 18 doi: 10.1016/j.ejim.2007.06.031. PMID: 19046727
Past and future aspects of clinical electrophysiology.
Lüderitz B
Cardiol J 2008;15(3):293-7. PMID: 18651426
Ablate and pace strategy for atrial fibrillation: long-term outcome of AIRCRAFT trial.
Lim KT, Davis MJ, Powell A, Arnolda L, Moulden K, Bulsara M, Weerasooriya R
Europace 2007 Jul;9(7):498-505. Epub 2007 May 9 doi: 10.1093/europace/eum091. PMID: 17491103
Symptoms reported by elderly patients with isolated systolic hypertension: baseline data from the SYST-EUR trial. Systolic Hypertension in Europe.
Bulpitt CJ, Fletcher AE, Thijs L, Staessen JA, Antikainen R, Davidson C, Fagard R, Gil-Extremera B, Jääskivi M, O'Brien E, Palatini P, Tuomilehto J
Age Ageing 1999 Jan;28(1):15-22. doi: 10.1093/ageing/28.1.15. PMID: 10203199

Recent systematic reviews

Safety of azithromycin in pediatrics: a systematic review and meta-analysis.
Zeng L, Xu P, Choonara I, Bo Z, Pan X, Li W, Ni X, Xiong T, Chen C, Huang L, Qazi SA, Mu D, Zhang L
Eur J Clin Pharmacol 2020 Dec;76(12):1709-1721. Epub 2020 Jul 17 doi: 10.1007/s00228-020-02956-3. PMID: 32681202Free PMC Article

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