Presentation
Partial atrial standstill may be present and prevent atrial lead implantation in patients with sinus node disease. [ncbi.nlm.nih.gov]
This condition can be present with thromboembolic complication, low cardiac output, and sometimes palpitation. Case Presentation: Here we presented a woman with right atrial stand still and left atrial tachycardia. [rcvmonline.com]
Liver, Gall & Pancreas
- Hepatomegaly
Physical examination revealed chronically ill appearance, grade 2/6 systolic murmur at the mid right and left sternal borders, decreased breathing sounds with both basal rales, 2 finger-breath tender hepatomegaly, and weakness of right extremities. [synapse.koreamed.org]
There was no hepatomegaly, and the liver was not pulsatile. There was no peripheral edema. The electrocardiogram showed normal sinus rhythm, right-axis deviation, and diffusely low voltage, with delayed transition of the anterior, precordial forces. [nejm.org]
Neurologic
- Dizziness
A patient is described in whom dizzy spells and cardiovascular syncope occurred due to a tachycardia - bradycardia syndrome over a period of ten years. [ncbi.nlm.nih.gov]
Keywords: Arrhythmia, cardiac, Bradycardia, Pacemaker, artificial, Abstract We introduce a 32-year-old man who was evaluated for a dizziness and headache of unknown origin for at least two months and was referred to our center after ECG findings. [jthc.tums.ac.ir]
- Vertigo
It has been noted in three clinical settings: in patients with long-standing cardiac disease, in patients with neuromuscular disease and in otherwise healthy people who present with vertigo, syncope or stroke. [deepblue.lib.umich.edu]
Workup
Other ECG Findings
- Abnormal ECG
It's the perfect book to turn to for clear and clinically relevant guidance on all of today’s ECG applications. Comprehensively and expertly describes how to capture and interpret all normal and abnormal ECG findings in adults and children. [books.google.com]
Treatment
A total of 778 patients with hyperkalemia were identified, 28 of whom had atrial standstill, and had several parameters measured prior to any treatment of hyperkalemia. [ncbi.nlm.nih.gov]
Subject Dogs -- Diseases -- Treatment -- Case studies [ecommons.cornell.edu]
Modalities 729 Treatment Modalities 731 Clinical Role of Antiarrhythmic Drugs in the Prevention of Sudden Death 733 Nonantiarrhythmic Drugs in Sudden Death Prevention 760 The Implantable Cardioverter Defibrillator Technical and Clinical Considerations [books.google.com]
It could stop on its own, or you may need medicine or treatment to stop it. [webmd.com]
Prognosis
Thus, persistence of atrial standstill in asymptomatic cardiomyopathy is a sign of poor prognosis. [ncbi.nlm.nih.gov]
Oechslin EN, Jost CHA, Rojas JR, Kaufinann PA, Jenni R (2000) Long-term follow-up of 34 adults with isolated left ventricular noncompaction; a distinct cardiomyopathy with poor prognosis. [link.springer.com]
Symptomatic cases require ventricular pacing and treatment for congestive heart failure if present, however, the prognosis is poor. [synapse.koreamed.org]
Etiology
Etiologies described in the literature have included muscular dystrophy, familial amyloidosis, and rarely myocarditis. These etiologies usually lead to permanent atrial standstill and require ventricular pacing. [ncbi.nlm.nih.gov]
Epidemiology
Epidemiologic assessment of chronic atrial fibrillation and risk of stroke: the Framingham study. Neurology 1978 ;28: 973 –7. 23. Woolliscroft J, Tuna N.. Permanent atrial standstill: the clinical spectrum. Am J Cardiol 1982 ;49: 2037 –41. 24. [nejm.org]
Current epidemiology and outcome of infective Endocarditis: a multicenter, prospective, cohort study. Medicine (Baltimore). 2015;94(43):e1816. doi: 10.1097/MD.0000000000001816. [bmcinfectdis.biomedcentral.com]
Pathophysiology
Abstract Persistent atrial standstill is a very rare pathophysiologic condition whose diagnosis is established when both electrical and mechanical silence of the atria are confirmed. [ncbi.nlm.nih.gov]
Pathophysiological hypotheses of atrial standstill, based on post-mortem examinations, include fibroelastosis and fatty infiltration of the atrial wall [10]. [cardiovascmed.ch]
[…] atrial systolic function, manifested by a characteristic transmitral Doppler spectral velocity profile, has previously been termed "atrial failure" 8 and has portended a poor outcome in patients with the primary form of the disease. 9 The underlying pathophysiologic [nejm.org]
There are few reports on the pathophysiology of atrial standstill. [academic.oup.com]
Prevention
[…] of Sudden Death 733 Nonantiarrhythmic Drugs in Sudden Death Prevention 760 The Implantable Cardioverter Defibrillator Technical and Clinical Considerations 772 Beyond Sudden Death Prevention Minimizing Implantable Cardioverter Defibrillator Shocks and [books.google.com]
Partial atrial standstill may be present and prevent atrial lead implantation in patients with sinus node disease. [ncbi.nlm.nih.gov]
Fibrosis prevents proper conduction and so ventricular contraction occurs in the form of escape beats, and thus the heart rate is slow. ECG examination usually reveals an absence of P waves and may show a widening of the QRS complex. [cal.vet.upenn.edu]
[…] less than a week Lifestyle changes Medication to control your heart rate: beta-blockers, calcium channel blockers, digoxin Procedure to control your heart rate (if medication fails) Pulmonary vein isolation Radiofrequency ablation Anticoagulants to prevent [webmd.com]
Hemodynamic collapse was prevented by pacing from the coronary sinus (Figure 2d). [innovationsincrm.com]