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Premature atrial contractions

MedGen UID:
19455
Concept ID:
C0033036
Disease or Syndrome
Synonyms: Atrial Beat, Premature; Atrial Beats, Premature; Atrial Complex, Premature; Atrial Complices, Premature; Atrial Contraction, Premature; Atrial Contractions, Premature; Atrial Ectopic Beat; Atrial Ectopic Beats; Atrial Extrasystole; Atrial Extrasystoles; Atrial Premature Complex; Atrial Premature Complexes; Atrial Premature Complices; Ectopic Beat, Atrial; Ectopic Beats, Atrial; Extrasystole, Atrial; Extrasystoles, Atrial; Premature Atrial Beat; Premature Atrial Beats; Premature Atrial Complex; Premature Atrial Complices; Premature Atrial Contraction; Premature Atrial Contractions; Premature Complex, Atrial; Premature Complexes, Atrial; Premature Complices, Atrial; Premature Supraventricular Beat; Premature Supraventricular Beats; Supraventricular Beat, Premature; Supraventricular Beats, Premature
SNOMED CT: Supraventricular premature beats (63593006); Supraventricular extrasystoles (63593006); Atrial extrasystoles (284470004); Atrial ectopic (284470004); Atrial premature systoles (284470004); Atrial premature contractions (284470004); Supraventricular premature contraction (63593006); Ectopic atrial beats (406461004); Premature atrial contraction (284470004); PAC - Premature atrial contraction (284470004); Atrial premature complex (287057009); Atrial premature depolarization (287057009); Atrial premature beats (287057009)
 
HPO: HP:0006699

Definition

A type of cardiac arrhythmia with premature atrial contractions or beats caused by signals originating from ectopic atrial sites. [from HPO]

Term Hierarchy

Conditions with this feature

Dilated cardiomyopathy 1E
MedGen UID:
331341
Concept ID:
C1832680
Disease or Syndrome
Any familial isolated dilated cardiomyopathy in which the cause of the disease is a mutation in the SCN5A gene.
Dilated cardiomyopathy 1G
MedGen UID:
347714
Concept ID:
C1858763
Disease or Syndrome
Dilated cardiomyopathy-1G (CMD1G) is an autosomal dominant disorder characterized by ventricular dilatation and systolic contractile dysfunction (Siu et al., 1999). For a general phenotypic description and a discussion of genetic heterogeneity of dilated cardiomyopathy (CMD), see CMD1A (115200).
Atrial fibrillation, familial, 4
MedGen UID:
400041
Concept ID:
C1862394
Disease or Syndrome
Atrial fibrillation is the most common sustained cardiac rhythm disturbance, affecting more than 2 million Americans, with an overall prevalence of 0.89%. The prevalence increases rapidly with age, to 2.3% between the ages of 40 and 60 years, and to 5.9% over the age of 65. The most dreaded complication is thromboembolic stroke (Brugada et al., 1997). For a discussion of genetic heterogeneity of atrial fibrillation, see 608583.
Atrial fibrillation, familial, 7
MedGen UID:
393658
Concept ID:
C2677106
Disease or Syndrome
Atrial fibrillation (AF) is the most common sustained cardiac rhythm disturbance, affecting more than 2 million Americans, with an overall prevalence of 0.89%. The prevalence increases rapidly with age, to 2.3% between the ages of 40 and 60 years, and to 5.9% over the age of 65. The most dreaded complication is thromboembolic stroke (Brugada et al., 1997). For a discussion of genetic heterogeneity of atrial fibrillation, see 608583.
Noonan syndrome 6
MedGen UID:
413028
Concept ID:
C2750732
Disease or Syndrome
Noonan syndrome (NS) is characterized by characteristic facies, short stature, congenital heart defect, and developmental delay of variable degree. Other findings can include broad or webbed neck, unusual chest shape with superior pectus carinatum and inferior pectus excavatum, cryptorchidism, varied coagulation defects, lymphatic dysplasias, and ocular abnormalities. Although birth length is usually normal, final adult height approaches the lower limit of normal. Congenital heart disease occurs in 50%-80% of individuals. Pulmonary valve stenosis, often with dysplasia, is the most common heart defect and is found in 20%-50% of individuals. Hypertrophic cardiomyopathy, found in 20%-30% of individuals, may be present at birth or develop in infancy or childhood. Other structural defects include atrial and ventricular septal defects, branch pulmonary artery stenosis, and tetralogy of Fallot. Up to one fourth of affected individuals have mild intellectual disability, and language impairments in general are more common in NS than in the general population.
Ogden syndrome
MedGen UID:
477078
Concept ID:
C3275447
Disease or Syndrome
Ogden syndrome (OGDNS) is an X-linked neurodevelopmental disorder characterized by postnatal growth failure, severely delayed psychomotor development, variable dysmorphic features, and hypotonia. Many patients also have cardiac malformations or arrhythmias (summary by Popp et al., 2015).
Atrial standstill 1
MedGen UID:
1646392
Concept ID:
C4551959
Disease or Syndrome
Atrial standstill (AS) is a rare condition characterized by the absence of electrical and mechanical activity in the atria. On surface ECG, AS is distinguished by bradycardia, junctional (usually narrow complex) escape rhythm, and absence of the P wave. Nearly 50% of patients with AS experience syncope. AS can be persistent or transient, and diffuse or partial (summary by Fazelifar et al., 2005).

Professional guidelines

PubMed

Stasiak A, Niewiadomska-Jarosik K, Kędziora P
Dev Period Med 2018;22(2):113-122. doi: 10.34763/devperiodmed.20182202.113122. PMID: 30056397Free PMC Article
Fox DJ, Tischenko A, Krahn AD, Skanes AC, Gula LJ, Yee RK, Klein GJ
Mayo Clin Proc 2008 Dec;83(12):1400-11. doi: 10.1016/S0025-6196(11)60791-X. PMID: 19046562
Ricci RP
Ital Heart J 2005 Mar;6(3):200-5. PMID: 15875509

Recent clinical studies

Etiology

Marcus GM, Rosenthal DG, Nah G, Vittinghoff E, Fang C, Ogomori K, Joyce S, Yilmaz D, Yang V, Kessedjian T, Wilson E, Yang M, Chang K, Wall G, Olgin JE
N Engl J Med 2023 Mar 23;388(12):1092-1100. doi: 10.1056/NEJMoa2204737. PMID: 36947466Free PMC Article
Bet BB, De Vries JM, Limpens J, Van Wely M, Van Leeuwen E, Clur SA, Pajkrt E
Ultrasound Obstet Gynecol 2022 Dec;60(6):721-730. doi: 10.1002/uog.26017. PMID: 35763619Free PMC Article
Riesinger L, Siebermair J, Wakili R
Herzschrittmacherther Elektrophysiol 2021 Mar;32(1):9-13. Epub 2021 Feb 3 doi: 10.1007/s00399-021-00744-9. PMID: 33533993
Groeneweg S, van Geest FS, Abacı A, Alcantud A, Ambegaonkar GP, Armour CM, Bakhtiani P, Barca D, Bertini ES, van Beynum IM, Brunetti-Pierri N, Bugiani M, Cappa M, Cappuccio G, Castellotti B, Castiglioni C, Chatterjee K, de Coo IFM, Coutant R, Craiu D, Crock P, DeGoede C, Demir K, Dica A, Dimitri P, Dolcetta-Capuzzo A, Dremmen MHG, Dubey R, Enderli A, Fairchild J, Gallichan J, George B, Gevers EF, Hackenberg A, Halász Z, Heinrich B, Huynh T, Kłosowska A, van der Knaap MS, van der Knoop MM, Konrad D, Koolen DA, Krude H, Lawson-Yuen A, Lebl J, Linder-Lucht M, Lorea CF, Lourenço CM, Lunsing RJ, Lyons G, Malikova J, Mancilla EE, McGowan A, Mericq V, Lora FM, Moran C, Müller KE, Oliver-Petit I, Paone L, Paul PG, Polak M, Porta F, Poswar FO, Reinauer C, Rozenkova K, Menevse TS, Simm P, Simon A, Singh Y, Spada M, van der Spek J, Stals MAM, Stoupa A, Subramanian GM, Tonduti D, Turan S, den Uil CA, Vanderniet J, van der Walt A, Wémeau JL, Wierzba J, de Wit MY, Wolf NI, Wurm M, Zibordi F, Zung A, Zwaveling-Soonawala N, Visser WE
Lancet Diabetes Endocrinol 2020 Jul;8(7):594-605. doi: 10.1016/S2213-8587(20)30153-4. PMID: 32559475Free PMC Article
Goldman L, Caldera DL, Nussbaum SR, Southwick FS, Krogstad D, Murray B, Burke DS, O'Malley TA, Goroll AH, Caplan CH, Nolan J, Carabello B, Slater EE
N Engl J Med 1977 Oct 20;297(16):845-50. doi: 10.1056/NEJM197710202971601. PMID: 904659

Diagnosis

Leeper BB
AACN Adv Crit Care 2023 Sep 15;34(3):263-265. doi: 10.4037/aacnacc2023145. PMID: 37644628
Ranjan P
Am J Cardiol 2023 Aug 1;200:188-189. Epub 2023 Jun 20 doi: 10.1016/j.amjcard.2023.05.018. PMID: 37348271
Bet BB, De Vries JM, Limpens J, Van Wely M, Van Leeuwen E, Clur SA, Pajkrt E
Ultrasound Obstet Gynecol 2022 Dec;60(6):721-730. doi: 10.1002/uog.26017. PMID: 35763619Free PMC Article
Riesinger L, Siebermair J, Wakili R
Herzschrittmacherther Elektrophysiol 2021 Mar;32(1):9-13. Epub 2021 Feb 3 doi: 10.1007/s00399-021-00744-9. PMID: 33533993
Groeneweg S, van Geest FS, Abacı A, Alcantud A, Ambegaonkar GP, Armour CM, Bakhtiani P, Barca D, Bertini ES, van Beynum IM, Brunetti-Pierri N, Bugiani M, Cappa M, Cappuccio G, Castellotti B, Castiglioni C, Chatterjee K, de Coo IFM, Coutant R, Craiu D, Crock P, DeGoede C, Demir K, Dica A, Dimitri P, Dolcetta-Capuzzo A, Dremmen MHG, Dubey R, Enderli A, Fairchild J, Gallichan J, George B, Gevers EF, Hackenberg A, Halász Z, Heinrich B, Huynh T, Kłosowska A, van der Knaap MS, van der Knoop MM, Konrad D, Koolen DA, Krude H, Lawson-Yuen A, Lebl J, Linder-Lucht M, Lorea CF, Lourenço CM, Lunsing RJ, Lyons G, Malikova J, Mancilla EE, McGowan A, Mericq V, Lora FM, Moran C, Müller KE, Oliver-Petit I, Paone L, Paul PG, Polak M, Porta F, Poswar FO, Reinauer C, Rozenkova K, Menevse TS, Simm P, Simon A, Singh Y, Spada M, van der Spek J, Stals MAM, Stoupa A, Subramanian GM, Tonduti D, Turan S, den Uil CA, Vanderniet J, van der Walt A, Wémeau JL, Wierzba J, de Wit MY, Wolf NI, Wurm M, Zibordi F, Zung A, Zwaveling-Soonawala N, Visser WE
Lancet Diabetes Endocrinol 2020 Jul;8(7):594-605. doi: 10.1016/S2213-8587(20)30153-4. PMID: 32559475Free PMC Article

Therapy

Meng Y, Nie C, Zhang Y, Zhu C, Hu E, Shang J, Lu T, Wu Z, Wang S
Am J Cardiol 2023 Jun 15;197:46-54. Epub 2023 May 5 doi: 10.1016/j.amjcard.2023.03.033. PMID: 37150025
Marcus GM, Rosenthal DG, Nah G, Vittinghoff E, Fang C, Ogomori K, Joyce S, Yilmaz D, Yang V, Kessedjian T, Wilson E, Yang M, Chang K, Wall G, Olgin JE
N Engl J Med 2023 Mar 23;388(12):1092-1100. doi: 10.1056/NEJMoa2204737. PMID: 36947466Free PMC Article
Yao C, Veleva T, Scott L Jr, Cao S, Li L, Chen G, Jeyabal P, Pan X, Alsina KM, Abu-Taha I Dr, Ghezelbash S, Reynolds CL, Shen YH, LeMaire SA, Schmitz W, Müller FU, El-Armouche A, Tony Eissa N, Beeton C, Nattel S, Wehrens XHT, Dobrev D, Li N
Circulation 2018 Nov 13;138(20):2227-2242. doi: 10.1161/CIRCULATIONAHA.118.035202. PMID: 29802206Free PMC Article
Eby G, Halcomb WW
Med Hypotheses 2006;67(5):1200-4. Epub 2006 Jun 23 doi: 10.1016/j.mehy.2006.04.055. PMID: 16797868
Goldman L, Caldera DL, Nussbaum SR, Southwick FS, Krogstad D, Murray B, Burke DS, O'Malley TA, Goroll AH, Caplan CH, Nolan J, Carabello B, Slater EE
N Engl J Med 1977 Oct 20;297(16):845-50. doi: 10.1056/NEJM197710202971601. PMID: 904659

Prognosis

Meng Y, Nie C, Zhang Y, Zhu C, Hu E, Shang J, Lu T, Wu Z, Wang S
Am J Cardiol 2023 Jun 15;197:46-54. Epub 2023 May 5 doi: 10.1016/j.amjcard.2023.03.033. PMID: 37150025
Uhe T, Stegmann T, Langhammer R, Dagres N, Laufs U, Wachter R
PLoS One 2022;17(4):e0266848. Epub 2022 Apr 22 doi: 10.1371/journal.pone.0266848. PMID: 35452471Free PMC Article
Ahmed S, Hisamatsu T, Kadota A, Fujiyoshi A, Segawa H, Torii S, Takashima N, Kondo K, Nakagawa Y, Ueshima H, Miura K; SESSA Research Group
Circ J 2022 Jul 25;86(8):1298-1306. Epub 2022 Feb 19 doi: 10.1253/circj.CJ-21-0872. PMID: 35185078
Liu HY, Wu JY, Chung CP, Lee IH, Lin CJ, Lin CJ, Hsu LC, Chao TF
J Stroke Cerebrovasc Dis 2020 Oct;29(10):105118. Epub 2020 Jul 11 doi: 10.1016/j.jstrokecerebrovasdis.2020.105118. PMID: 32912526
Groeneweg S, van Geest FS, Abacı A, Alcantud A, Ambegaonkar GP, Armour CM, Bakhtiani P, Barca D, Bertini ES, van Beynum IM, Brunetti-Pierri N, Bugiani M, Cappa M, Cappuccio G, Castellotti B, Castiglioni C, Chatterjee K, de Coo IFM, Coutant R, Craiu D, Crock P, DeGoede C, Demir K, Dica A, Dimitri P, Dolcetta-Capuzzo A, Dremmen MHG, Dubey R, Enderli A, Fairchild J, Gallichan J, George B, Gevers EF, Hackenberg A, Halász Z, Heinrich B, Huynh T, Kłosowska A, van der Knaap MS, van der Knoop MM, Konrad D, Koolen DA, Krude H, Lawson-Yuen A, Lebl J, Linder-Lucht M, Lorea CF, Lourenço CM, Lunsing RJ, Lyons G, Malikova J, Mancilla EE, McGowan A, Mericq V, Lora FM, Moran C, Müller KE, Oliver-Petit I, Paone L, Paul PG, Polak M, Porta F, Poswar FO, Reinauer C, Rozenkova K, Menevse TS, Simm P, Simon A, Singh Y, Spada M, van der Spek J, Stals MAM, Stoupa A, Subramanian GM, Tonduti D, Turan S, den Uil CA, Vanderniet J, van der Walt A, Wémeau JL, Wierzba J, de Wit MY, Wolf NI, Wurm M, Zibordi F, Zung A, Zwaveling-Soonawala N, Visser WE
Lancet Diabetes Endocrinol 2020 Jul;8(7):594-605. doi: 10.1016/S2213-8587(20)30153-4. PMID: 32559475Free PMC Article

Clinical prediction guides

Shimada Y, Todo K, Doijiri R, Yamazaki H, Sonoda K, Koge J, Iwata T, Ueno Y, Yamagami H, Kimura N, Morimoto M, Kondo D, Koga M, Nagata E, Miyamoto N, Kimura Y, Gon Y, Okazaki S, Sasaki T, Mochizuki H; CRYPTON-ICM Registry Investigators
Stroke 2024 Apr;55(4):946-953. Epub 2024 Mar 4 doi: 10.1161/STROKEAHA.123.044813. PMID: 38436115
Meng Y, Nie C, Zhang Y, Zhu C, Hu E, Shang J, Lu T, Wu Z, Wang S
Am J Cardiol 2023 Jun 15;197:46-54. Epub 2023 May 5 doi: 10.1016/j.amjcard.2023.03.033. PMID: 37150025
Uhe T, Stegmann T, Langhammer R, Dagres N, Laufs U, Wachter R
PLoS One 2022;17(4):e0266848. Epub 2022 Apr 22 doi: 10.1371/journal.pone.0266848. PMID: 35452471Free PMC Article
Ahmed S, Hisamatsu T, Kadota A, Fujiyoshi A, Segawa H, Torii S, Takashima N, Kondo K, Nakagawa Y, Ueshima H, Miura K; SESSA Research Group
Circ J 2022 Jul 25;86(8):1298-1306. Epub 2022 Feb 19 doi: 10.1253/circj.CJ-21-0872. PMID: 35185078
Groeneweg S, van Geest FS, Abacı A, Alcantud A, Ambegaonkar GP, Armour CM, Bakhtiani P, Barca D, Bertini ES, van Beynum IM, Brunetti-Pierri N, Bugiani M, Cappa M, Cappuccio G, Castellotti B, Castiglioni C, Chatterjee K, de Coo IFM, Coutant R, Craiu D, Crock P, DeGoede C, Demir K, Dica A, Dimitri P, Dolcetta-Capuzzo A, Dremmen MHG, Dubey R, Enderli A, Fairchild J, Gallichan J, George B, Gevers EF, Hackenberg A, Halász Z, Heinrich B, Huynh T, Kłosowska A, van der Knaap MS, van der Knoop MM, Konrad D, Koolen DA, Krude H, Lawson-Yuen A, Lebl J, Linder-Lucht M, Lorea CF, Lourenço CM, Lunsing RJ, Lyons G, Malikova J, Mancilla EE, McGowan A, Mericq V, Lora FM, Moran C, Müller KE, Oliver-Petit I, Paone L, Paul PG, Polak M, Porta F, Poswar FO, Reinauer C, Rozenkova K, Menevse TS, Simm P, Simon A, Singh Y, Spada M, van der Spek J, Stals MAM, Stoupa A, Subramanian GM, Tonduti D, Turan S, den Uil CA, Vanderniet J, van der Walt A, Wémeau JL, Wierzba J, de Wit MY, Wolf NI, Wurm M, Zibordi F, Zung A, Zwaveling-Soonawala N, Visser WE
Lancet Diabetes Endocrinol 2020 Jul;8(7):594-605. doi: 10.1016/S2213-8587(20)30153-4. PMID: 32559475Free PMC Article

Recent systematic reviews

Bet BB, De Vries JM, Limpens J, Van Wely M, Van Leeuwen E, Clur SA, Pajkrt E
Ultrasound Obstet Gynecol 2022 Dec;60(6):721-730. doi: 10.1002/uog.26017. PMID: 35763619Free PMC Article
Meng L, Tsiaousis G, He J, Tse G, Antoniadis AP, Korantzopoulos P, Letsas KP, Baranchuk A, Qi W, Zhang Z, Liu E, Xu G, Xia Y, Li G, Roever L, Lip GY, Fragakis N, Liu T
Curr Atheroscler Rep 2020 May 21;22(4):14. doi: 10.1007/s11883-020-0832-4. PMID: 32440839
Richards JR, Blohm E, Toles KA, Jarman AF, Ely DF, Elder JW
Clin Toxicol (Phila) 2020 Sep;58(9):861-869. Epub 2020 Apr 8 doi: 10.1080/15563650.2020.1743847. PMID: 32267189
Himmelreich JCL, Lucassen WAM, Heugen M, Bossuyt PMM, Tan HL, Harskamp RE, van Etten-Jamaludin FS, van Weert HCPM
Europace 2019 May 1;21(5):698-707. doi: 10.1093/europace/euy276. PMID: 30508087

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