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Tachycardia, Sinoatrial Nodal Reentry

MedGen UID:
11699
•Concept ID:
C0039238
•
Disease or Syndrome
Synonyms: Sinoatrial Nodal Reentry Tachycardia; Sinus Node Reentrant Tachycardia; Tachycardia, SA Nodal Reentrant

Definition

Abnormally rapid heartbeats caused by reentry circuit in or around the SINOATRIAL NODE. It is characterized by sudden onset and offset episodes of tachycardia with a HEART RATE of 100-150 beats per minute. The P wave is identical to the sinus P wave but with a longer PR interval. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTachycardia, Sinoatrial Nodal Reentry

Professional guidelines

PubMed

Mechanism and treatment of arrhythmias in the single ventricle patient: focus on intraatrial reentry.
Saul JP
Heart Rhythm 2008 Nov;5(11):1615-8. Epub 2008 Jun 4 doi: 10.1016/j.hrthm.2008.06.003. PMID: 18819849
Role of adenosine in the diagnosis and treatment of tachyarrhythmias in pediatric patients.
Lenk M, Celiker A, Alehan D, Koçak G, Ozme S
Acta Paediatr Jpn 1997 Oct;39(5):570-7. doi: 10.1111/j.1442-200x.1997.tb03643.x. PMID: 9363655
Supraventricular tachycardia: diagnosis and treatment.
Dreifus LS, Hessen SE
Cardiology 1990;77(3):259-68. doi: 10.1159/000174606. PMID: 2272062

Recent clinical studies

Etiology

Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
Prevalence of and risk factors for atrial fibrillation and intra-atrial reentrant tachycardia among patients with congenital heart disease.
Kirsh JA, Walsh EP, Triedman JK
Am J Cardiol 2002 Aug 1;90(3):338-40. doi: 10.1016/s0002-9149(02)02480-3. PMID: 12127629
The effect of sinus node depression on heart rate variability in humans using zatebradine, a selective bradycardic agent.
Khaykin Y, Dorian P, Tang A, Green M, Mitchell J, Wulffhart Z, Newman D
Can J Physiol Pharmacol 1998 Jul-Aug;76(7-8):806-10. doi: 10.1139/cjpp-76-7-8-806. PMID: 10030463
Adenosine as an antiarrhythmic agent.
Wilbur SL, Marchlinski FE
Am J Cardiol 1997 Jun 19;79(12A):30-7. doi: 10.1016/s0002-9149(97)00261-0. PMID: 9223361
Radiofrequency catheter ablation of atrial tachycardia and atrial flutter.
Simons GR, Wharton JM
Coron Artery Dis 1996 Jan;7(1):12-9. PMID: 8773428

Diagnosis

AVNRT captured by smartphone ECG device.
Yalın K, Bilge AK, İkitimur B, Öngen Z
Turk Kardiyol Dern Ars 2021 Sep;49(6):513. doi: 10.5543/tkda.2021.02452. PMID: 34523602
Supraventricular tachydysrhythmias in the emergency department.
Clark DD, McGuire M, Jones M, Bruner H, Bruner D
Emerg Med Pract 2020 Aug;22(8):1-28. Epub 2020 Aug 1 PMID: 32678566
Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
An unusual pacemaker migration.
Garcia R, Degand B
Indian Heart J 2016 Sep;68 Suppl 2(Suppl 2):S228. Epub 2016 Jun 15 doi: 10.1016/j.ihj.2016.06.003. PMID: 27751298Free PMC Article
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342

Therapy

Supraventricular tachydysrhythmias in the emergency department.
Clark DD, McGuire M, Jones M, Bruner H, Bruner D
Emerg Med Pract 2020 Aug;22(8):1-28. Epub 2020 Aug 1 PMID: 32678566
An unusual pacemaker migration.
Garcia R, Degand B
Indian Heart J 2016 Sep;68 Suppl 2(Suppl 2):S228. Epub 2016 Jun 15 doi: 10.1016/j.ihj.2016.06.003. PMID: 27751298Free PMC Article
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
Adenosine as an antiarrhythmic agent.
Wilbur SL, Marchlinski FE
Am J Cardiol 1997 Jun 19;79(12A):30-7. doi: 10.1016/s0002-9149(97)00261-0. PMID: 9223361
Sinus node reentrant tachycardia.
Gomes JA, Mehta D, Langan MN
Pacing Clin Electrophysiol 1995 May;18(5 Pt 1):1045-57. doi: 10.1111/j.1540-8159.1995.tb04747.x. PMID: 7659557

Prognosis

Pathophysiology of ventricular tachyarrhythmias : From automaticity to reentry.
Enriquez A, Frankel DS, Baranchuk A
Herzschrittmacherther Elektrophysiol 2017 Jun;28(2):149-156. Epub 2017 May 31 doi: 10.1007/s00399-017-0512-4. PMID: 28567491
A classic but uncommon principle.
Posan E, Gula LJ, Skanes AC, Krahn AD, Yee R, Klein GJ
J Cardiovasc Electrophysiol 2006 Jan;17(1):106-7. doi: 10.1111/j.1540-8167.2005.00269.x. PMID: 16426414
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
Radiofrequency catheter ablation of atrial tachycardia and atrial flutter.
Simons GR, Wharton JM
Coron Artery Dis 1996 Jan;7(1):12-9. PMID: 8773428
Catheter ablation of sinoatrial node reentrant tachycardia.
Sanders WE Jr, Sorrentino RA, Greenfield RA, Shenasa H, Hamer ME, Wharton JM
J Am Coll Cardiol 1994 Mar 15;23(4):926-34. doi: 10.1016/0735-1097(94)90639-4. PMID: 8106698

Clinical prediction guides

Supraventricular tachydysrhythmias in the emergency department.
Clark DD, McGuire M, Jones M, Bruner H, Bruner D
Emerg Med Pract 2020 Aug;22(8):1-28. Epub 2020 Aug 1 PMID: 32678566
Clinical significance of induced left atrial macro-reentrant tachycardia after pulmonary vein isolation.
Hara H, Yoshinaga M, Matsui Y, Yamamoto S, Ishido T, Yutaka K, Kasuu T, Karakawa M
J Interv Card Electrophysiol 2016 Aug;46(2):167-76. Epub 2015 Sep 21 doi: 10.1007/s10840-015-0055-8. PMID: 26391992
Intra-atrial reentrant tachycardia in adult patients after Fontan operation.
Song MK, Bae EJ, Kwon BS, Kim GB, Noh CI, Choi JY, Kim WH, Lee JR, Kim YJ
Int J Cardiol 2015;187:157-63. Epub 2015 Mar 17 doi: 10.1016/j.ijcard.2015.03.157. PMID: 25828344
Computer simulation of the reentrant cardiac arrhythmias in ischemic myocardium.
Zhang H, Yang L, Jin YB, Zhang ZX, Huang YZ
Chin J Physiol 2005 Sep 30;48(3):155-9. PMID: 16304842
Areas of slow conduction in atrial re-entrant tachycardia: a case report and review of the literature.
Hluchy J, Jurkovicová O, Wieczorek M, Sabin GV
Int J Cardiol 1993 Sep;41(2):133-9. doi: 10.1016/0167-5273(93)90152-7. PMID: 8282436

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