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Pause by ECG Finding

MedGen UID:
855723
•Concept ID:
C3890719
•
Finding

Definition

An electrocardiographic recording that demonstrates an R-R interval that exceeds a predefined duration threshold, irrespective of the underlying rhythm. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPause by ECG Finding

Professional guidelines

PubMed

2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD
Circulation 2019 Aug 20;140(8):e382-e482. Epub 2018 Nov 6 doi: 10.1161/CIR.0000000000000628. PMID: 30586772
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD
J Am Coll Cardiol 2019 Aug 20;74(7):e51-e156. Epub 2018 Nov 6 doi: 10.1016/j.jacc.2018.10.044. PMID: 30412709
Post-acute management of the acquired long QT syndrome.
Barra S, Agarwal S, Begley D, Providência R
Postgrad Med J 2014 Jun;90(1064):348-58. Epub 2014 Apr 2 doi: 10.1136/postgradmedj-2013-132398. PMID: 24696523

Recent clinical studies

Etiology

Electromechanical reciprocity and arrhythmogenesis in long-QT syndrome and beyond.
Odening KE, van der Linde HJ, Ackerman MJ, Volders PGA, Ter Bekke RMA
Eur Heart J 2022 Aug 21;43(32):3018-3028. doi: 10.1093/eurheartj/ehac135. PMID: 35445703Free PMC Article
Establishing reference ranges for ambulatory electrocardiography parameters: meta-analysis.
Williams CB, Andrade JG, Hawkins NM, Cheung C, Krahn A, Laksman ZW, Bennett MT, Heilbron B, Chakrabarti S, Yeung-Lai-Wah JA, Deyell MW
Heart 2020 Nov;106(22):1732-1739. Epub 2020 Jul 20 doi: 10.1136/heartjnl-2020-316925. PMID: 32690622
Common questions about pacemakers.
Denay KL, Johansen M
Am Fam Physician 2014 Feb 15;89(4):279-82. PMID: 24695448
Atrial fibrillation.
Aronow WS
Heart Dis 2002 Mar-Apr;4(2):91-101. doi: 10.1097/00132580-200203000-00006. PMID: 11975840
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

Diagnosis

Sinus Node Dysfunction.
Hawks MK, Paul MLB, Malu OO
Am Fam Physician 2021 Aug 1;104(2):179-185. PMID: 34383451
The Electrocardiographic Footprints of Ventricular Ectopy.
Mond HG, Haqqani HM
Heart Lung Circ 2020 Jul;29(7):988-999. Epub 2020 Jan 30 doi: 10.1016/j.hlc.2020.01.002. PMID: 32063472
The Electrocardiographic Footprints of Atrial Ectopy.
Mond HG, Haqqani HM
Heart Lung Circ 2019 Oct;28(10):1463-1471. Epub 2019 Apr 26 doi: 10.1016/j.hlc.2019.03.005. PMID: 31076238
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD
Circulation 2019 Aug 20;140(8):e382-e482. Epub 2018 Nov 6 doi: 10.1161/CIR.0000000000000628. PMID: 30586772
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD
J Am Coll Cardiol 2019 Aug 20;74(7):e51-e156. Epub 2018 Nov 6 doi: 10.1016/j.jacc.2018.10.044. PMID: 30412709

Therapy

2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.
Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, Goldschlager NF, Hamilton RM, Joglar JA, Kim RJ, Lee R, Marine JE, McLeod CJ, Oken KR, Patton KK, Pellegrini CN, Selzman KA, Thompson A, Varosy PD
Circulation 2019 Aug 20;140(8):e382-e482. Epub 2018 Nov 6 doi: 10.1161/CIR.0000000000000628. PMID: 30586772
Proarrhythmic and Torsadogenic Effects of Potassium Channel Blockers in Patients.
McCauley M, Vallabhajosyula S, Darbar D
Card Electrophysiol Clin 2016 Jun;8(2):481-93. Epub 2016 Mar 22 doi: 10.1016/j.ccep.2016.02.009. PMID: 27261836Free PMC Article
Implantable rhythm devices in the management of vasovagal syncope.
Solbiati M, Sheldon RS
Auton Neurosci 2014 Sep;184:33-9. Epub 2014 May 27 doi: 10.1016/j.autneu.2014.05.012. PMID: 24916847
Post-acute management of the acquired long QT syndrome.
Barra S, Agarwal S, Begley D, Providência R
Postgrad Med J 2014 Jun;90(1064):348-58. Epub 2014 Apr 2 doi: 10.1136/postgradmedj-2013-132398. PMID: 24696523
Mitral valve regurgitation.
O'Rourke RA, Crawford MH
Curr Probl Cardiol 1984 May;9(2):1-52. doi: 10.1016/0146-2806(84)90021-5. PMID: 6375982

Prognosis

Electromechanical reciprocity and arrhythmogenesis in long-QT syndrome and beyond.
Odening KE, van der Linde HJ, Ackerman MJ, Volders PGA, Ter Bekke RMA
Eur Heart J 2022 Aug 21;43(32):3018-3028. doi: 10.1093/eurheartj/ehac135. PMID: 35445703Free PMC Article
Sinus Node Dysfunction.
Hawks MK, Paul MLB, Malu OO
Am Fam Physician 2021 Aug 1;104(2):179-185. PMID: 34383451
Atrial fibrillation.
Aronow WS
Heart Dis 2002 Mar-Apr;4(2):91-101. doi: 10.1097/00132580-200203000-00006. PMID: 11975840
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578
Mitral valve regurgitation.
O'Rourke RA, Crawford MH
Curr Probl Cardiol 1984 May;9(2):1-52. doi: 10.1016/0146-2806(84)90021-5. PMID: 6375982

Clinical prediction guides

Electromechanical reciprocity and arrhythmogenesis in long-QT syndrome and beyond.
Odening KE, van der Linde HJ, Ackerman MJ, Volders PGA, Ter Bekke RMA
Eur Heart J 2022 Aug 21;43(32):3018-3028. doi: 10.1093/eurheartj/ehac135. PMID: 35445703Free PMC Article
Clinical and Functional Characterization of Ryanodine Receptor 2 Variants Implicated in Calcium-Release Deficiency Syndrome.
Roston TM, Wei J, Guo W, Li Y, Zhong X, Wang R, Estillore JP, Peltenburg PJ, Noguer FRI, Till J, Eckhardt LL, Orland KM, Hamilton R, LaPage MJ, Krahn AD, Tadros R, Vinocur JM, Kallas D, Franciosi S, Roberts JD, Wilde AAM, Jensen HK, Sanatani S, Chen SRW
JAMA Cardiol 2022 Jan 1;7(1):84-92. doi: 10.1001/jamacardio.2021.4458. PMID: 34730774Free PMC Article
Sinus Node Dysfunction.
Hawks MK, Paul MLB, Malu OO
Am Fam Physician 2021 Aug 1;104(2):179-185. PMID: 34383451
Establishing reference ranges for ambulatory electrocardiography parameters: meta-analysis.
Williams CB, Andrade JG, Hawkins NM, Cheung C, Krahn A, Laksman ZW, Bennett MT, Heilbron B, Chakrabarti S, Yeung-Lai-Wah JA, Deyell MW
Heart 2020 Nov;106(22):1732-1739. Epub 2020 Jul 20 doi: 10.1136/heartjnl-2020-316925. PMID: 32690622
ECG variants and cardiac arrhythmias in athletes: clinical relevance and prognostic importance.
Zehender M, Meinertz T, Keul J, Just H
Am Heart J 1990 Jun;119(6):1378-91. doi: 10.1016/s0002-8703(05)80189-9. PMID: 2191578

Recent systematic reviews

Swallow syncope: a case report and review of literature.
Siew KSW, Tan MP, Hilmi IN, Loch A
BMC Cardiovasc Disord 2019 Aug 7;19(1):191. doi: 10.1186/s12872-019-1174-4. PMID: 31391000Free PMC Article

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