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Ectopic beats

MedGen UID:
83308
•Concept ID:
C0340464
•
Disease or Syndrome
Synonyms: Beat, Premature; Beats, Premature; Cardiac Complex, Premature; Cardiac Complexes, Premature; Complexes, Premature Cardiac; Ectopic Heartbeat; Ectopic Heartbeats; Extrasystole; Extrasystoles; Heartbeat, Ectopic; Heartbeats, Ectopic; Premature Beat; Premature Beats; Premature Cardiac Complex; Premature Cardiac Complexes; Premature Cardiac Complices
SNOMED CT: Ectopics (29717002); Premature beats (29717002); Extrasystoles (29717002); Extrasystolic arrhythmia (29717002); Ectopic beats (33413000)

Definition

A cardiac beat originating from an abnormal site. [from NCI]

Professional guidelines

PubMed

Points & Pearls: Blunt cardiac injury: emergency department diagnosis and management.
Morley EJ, English B, Cohen DB, Paolo WF, Nusbaum J, Gupta N
Emerg Med Pract 2019 Mar 1;21(Suppl 3):1-2. PMID: 30821949
Blunt cardiac injury: emergency department diagnosis and management.
Morley EJ, English B, Cohen DB, Paolo WF
Emerg Med Pract 2019 Mar;21(3):1-20. Epub 2019 Mar 1 PMID: 30794369
RETRACTED: Ventricular Ectopic Beats: An Overview of Management Considerations.
Jadhav A, Ingole A, Chockalingam A
Am J Med Sci 2012 Feb;343(2):150-154. doi: 10.1097/MAJ.0b013e31821d677b. PMID: 21681072

Recent clinical studies

Etiology

Arrhythmogenic right ventricular cardiomyopathy: a focused update on diagnosis and risk stratification.
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
How to evaluate premature ventricular beats in the athlete: critical review and proposal of a diagnostic algorithm.
Corrado D, Drezner JA, D'Ascenzi F, Zorzi A
Br J Sports Med 2020 Oct;54(19):1142-1148. Epub 2019 Sep 3 doi: 10.1136/bjsports-2018-100529. PMID: 31481389Free PMC Article
Supraventricular Tachycardia.
Mahtani AU, Nair DG
Med Clin North Am 2019 Sep;103(5):863-879. doi: 10.1016/j.mcna.2019.05.007. PMID: 31378331
Fetal dysrhythmias.
Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2019 Jul;58:28-41. Epub 2019 Jan 9 doi: 10.1016/j.bpobgyn.2019.01.002. PMID: 30738635
Arrhythmias in pregnancy.
McAnulty JH
Cardiol Clin 2012 Aug;30(3):425-34. doi: 10.1016/j.ccl.2012.04.002. PMID: 22813367

Diagnosis

Arrhythmogenic right ventricular cardiomyopathy: a focused update on diagnosis and risk stratification.
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
How to evaluate premature ventricular beats in the athlete: critical review and proposal of a diagnostic algorithm.
Corrado D, Drezner JA, D'Ascenzi F, Zorzi A
Br J Sports Med 2020 Oct;54(19):1142-1148. Epub 2019 Sep 3 doi: 10.1136/bjsports-2018-100529. PMID: 31481389Free PMC Article
Supraventricular Tachycardia.
Mahtani AU, Nair DG
Med Clin North Am 2019 Sep;103(5):863-879. doi: 10.1016/j.mcna.2019.05.007. PMID: 31378331
Fetal dysrhythmias.
Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2019 Jul;58:28-41. Epub 2019 Jan 9 doi: 10.1016/j.bpobgyn.2019.01.002. PMID: 30738635
Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins.
Haïssaguerre M, Jaïs P, Shah DC, Takahashi A, Hocini M, Quiniou G, Garrigue S, Le Mouroux A, Le Métayer P, Clémenty J
N Engl J Med 1998 Sep 3;339(10):659-66. doi: 10.1056/NEJM199809033391003. PMID: 9725923

Therapy

Supraventricular Tachycardia.
Mahtani AU, Nair DG
Med Clin North Am 2019 Sep;103(5):863-879. doi: 10.1016/j.mcna.2019.05.007. PMID: 31378331
Anti-arrhythmic therapy in athletes.
Zorzi A, Cipriani A, Corrado D
Pharmacol Res 2019 Jun;144:306-314. Epub 2019 Apr 25 doi: 10.1016/j.phrs.2019.04.027. PMID: 31028906
Fetal dysrhythmias.
Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2019 Jul;58:28-41. Epub 2019 Jan 9 doi: 10.1016/j.bpobgyn.2019.01.002. PMID: 30738635
Arrhythmias in pregnancy.
McAnulty JH
Cardiol Clin 2012 Aug;30(3):425-34. doi: 10.1016/j.ccl.2012.04.002. PMID: 22813367
Flecainide and encainide.
Furlanello F, Vergara G, Bettini R, Mosna G, Gramegna L, Disertori M
Eur Heart J 1987 Mar;8 Suppl A:33-40. doi: 10.1093/eurheartj/8.suppl_a.33. PMID: 3107989

Prognosis

Supraventricular ectopic beats and ventricular ectopic beats detection based on improved U-net.
Qiu L, Cai W, Zhang M, Dong Y, Zhu W, Wang L
Physiol Meas 2022 Jul 7;43(7) doi: 10.1088/1361-6579/ac6aa2. PMID: 35472766
Arrhythmogenic right ventricular cardiomyopathy: a focused update on diagnosis and risk stratification.
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
How to evaluate premature ventricular beats in the athlete: critical review and proposal of a diagnostic algorithm.
Corrado D, Drezner JA, D'Ascenzi F, Zorzi A
Br J Sports Med 2020 Oct;54(19):1142-1148. Epub 2019 Sep 3 doi: 10.1136/bjsports-2018-100529. PMID: 31481389Free PMC Article
Fetal dysrhythmias.
Carvalho JS
Best Pract Res Clin Obstet Gynaecol 2019 Jul;58:28-41. Epub 2019 Jan 9 doi: 10.1016/j.bpobgyn.2019.01.002. PMID: 30738635
ECG abnormalities and stroke incidence.
Agarwal SK, Soliman EZ
Expert Rev Cardiovasc Ther 2013 Jul;11(7):853-61. doi: 10.1586/14779072.2013.811980. PMID: 23895029

Clinical prediction guides

Supraventricular ectopic beats and ventricular ectopic beats detection based on improved U-net.
Qiu L, Cai W, Zhang M, Dong Y, Zhu W, Wang L
Physiol Meas 2022 Jul 7;43(7) doi: 10.1088/1361-6579/ac6aa2. PMID: 35472766
Arrhythmogenic right ventricular cardiomyopathy: a focused update on diagnosis and risk stratification.
Bosman LP, Te Riele ASJM
Heart 2022 Jan;108(2):90-97. Epub 2021 May 14 doi: 10.1136/heartjnl-2021-319113. PMID: 33990412
Chemotherapy-Induced Arrhythmia - Underrecognized and Undertreated.
Essa H, Wright DJ, Dobson R, Lip GYH
Am J Med 2021 Oct;134(10):1224-1231.e1. Epub 2021 Jul 1 doi: 10.1016/j.amjmed.2021.05.026. PMID: 34216562
ECG abnormalities and stroke incidence.
Agarwal SK, Soliman EZ
Expert Rev Cardiovasc Ther 2013 Jul;11(7):853-61. doi: 10.1586/14779072.2013.811980. PMID: 23895029
Hypokalemia and arrhythmias.
Helfant RH
Am J Med 1986 Apr 25;80(4A):13-22. doi: 10.1016/0002-9343(86)90336-0. PMID: 3706349

Recent systematic reviews

Anthracyclines and the risk of arrhythmias: A systematic review and meta-analysis.
Dean YE, Dahshan H, Motawea KR, Khalifa Z, Tanas Y, Rakha I, Hasan W, Kishk M, Mahmoud A, Elsayed A, Abdelkader O, Tokunaga A, Khalifa A, Helmy A, Elhalag RH, Farghaly RM, Abdelkader OKS, Shah J, Hakim D, Aiash H
Medicine (Baltimore) 2023 Nov 17;102(46):e35770. doi: 10.1097/MD.0000000000035770. PMID: 37986405Free PMC Article
The impact of acute energy drink consumption on electrical heart disease: A systematic review and meta-analysis.
Lasheras I, Seral P, Alonso-Ventura V, Santabárbara J
J Electrocardiol 2021 Mar-Apr;65:128-135. Epub 2021 Feb 9 doi: 10.1016/j.jelectrocard.2021.01.020. PMID: 33631440
A systematic review of aluminium phosphide poisoning.
Mehrpour O, Jafarzadeh M, Abdollahi M
Arh Hig Rada Toksikol 2012 Mar;63(1):61-73. doi: 10.2478/10004-1254-63-2012-2182. PMID: 22450207

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