sinus arrhythmia

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Introduction

Variation between the longest & shortest p-wave intervals is > 0.12 seconds. Variation may be phasic with respirations or non phasic. In the phasic variant, the cycle length diminishes with inspiration & increases with expiration. The non phasic variant may be related to variation in vagal tone.

Clinical manifestations

generally asymptomatic

Management

  • workup &/or treatment generally unnecessary

More general terms

Additional terms

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 271
  2. Kusumoto FM, Schoenfeld MH, Barrett C et al 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 J Am Coll Cardiol. 2019 Aug 20;74(7):e51-e156. PMID: https://www.ncbi.nlm.nih.gov/pubmed/30412709 Free article