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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

A Simple Method to Differentiate Atrioventricular Node Reentrant Tachycardia from Orthodromic Reciprocating Tachycardia.
He Q, Lei S, Jia FP, Gao LY, W X Zhu D
Int Heart J 2018 Jan 27;59(1):71-76. Epub 2017 Dec 20 doi: 10.1536/ihj.17-002. PMID: 29269710
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
Sinus Node Dysfunction and Atrial Fibrillation: A Reversible Phenomenon?
Jackson LR 2nd, Rathakrishnan B, Campbell K, Thomas KL, Piccini JP, Bahnson T, Stiber JA, Daubert JP
Pacing Clin Electrophysiol 2017 Apr;40(4):442-450. Epub 2017 Mar 8 doi: 10.1111/pace.13030. PMID: 28155995
Clinical and electrophysiological characteristics of typical atrioventricular nodal reentrant tachycardia in the elderly - changing of slow pathway location with aging.
Alihanoglu YI, Yildiz BS, Kilic DI, Evrengul H, Kose S
Circ J 2015;79(5):1031-6. Epub 2015 Feb 16 doi: 10.1253/circj.CJ-14-1320. PMID: 25739340
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

Diagnosis

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
Sinus Node Dysfunction and Atrial Fibrillation: A Reversible Phenomenon?
Jackson LR 2nd, Rathakrishnan B, Campbell K, Thomas KL, Piccini JP, Bahnson T, Stiber JA, Daubert JP
Pacing Clin Electrophysiol 2017 Apr;40(4):442-450. Epub 2017 Mar 8 doi: 10.1111/pace.13030. PMID: 28155995
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
'True' atrial tachycardia.
Steinbeck G, Hoffmann E
Eur Heart J 1998 May;19 Suppl E:E10-2, E48-9. PMID: 9717019

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
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
'True' atrial tachycardia.
Steinbeck G, Hoffmann E
Eur Heart J 1998 May;19 Suppl E:E10-2, E48-9. PMID: 9717019
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
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
Number needed to entrain: a new criterion for entrainment mapping in patients with intra-atrial reentrant tachycardia.
Maruyama M, Yamamoto T, Abe J, Yodogawa K, Seino Y, Atarashi H, Shimizu W
Circ Arrhythm Electrophysiol 2014 Jun;7(3):490-6. Epub 2014 Apr 24 doi: 10.1161/CIRCEP.113.001416. PMID: 24762806
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342
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
Heterogeneity of retrograde fast-pathway conduction pattern in patients with atrioventricular nodal reentry tachycardia: observations by simultaneous multisite catheter mapping of Koch's triangle.
Anselme F, Hook B, Monahan K, Frederiks J, Callans D, Zardini M, Epstein LM, Zebede J, Josephson ME
Circulation 1996 Mar 1;93(5):960-8. doi: 10.1161/01.cir.93.5.960. PMID: 8598087
Comparison of the effects of intravenous and oral betaxolol on antegrade and retrograde conduction in patients with atrioventricular nodal reentrant and atrioventricular reentrant tachycardia.
Kühlkamp V, Ickrath O, Haasis R, Seipel L
Eur Heart J 1989 Jun;10(6):493-501. doi: 10.1093/oxfordjournals.eurheartj.a059518. PMID: 2569398

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