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Sinus arrhythmia

MedGen UID:: 398
•Concept ID:: C0003813
•: Finding

Synonyms:	Arrhythmia, Sinoatrial; Arrhythmia, Sinus; Arrhythmias, Sinoatrial; Arrhythmias, Sinus; Sinoatrial Arrhythmia; Sinoatrial Arrhythmias; Sinus Arrhythmia; Sinus Arrhythmias
SNOMED CT:	Sinus arrhythmia (71792006)

Definition

An electrocardiographic finding in which the sinus rate fluctuates with the respiratory cycle. (CDISC) [from NCI]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVSinus arrhythmia

Abnormality of the cardiovascular system
- Abnormal cardiovascular system physiology
  - Abnormality of cardiovascular system electrophysiology
    - Cardiac arrhythmia
      - Supraventricular arrhythmia
        Atrial arrhythmia
        Sinus arrhythmia
        Sick sinus syndrome
        Familial sick sinus syndrome
        Sick sinus syndrome 1
        Sick sinus syndrome 2, autosomal dominant
        Sick sinus syndrome 3, susceptibility to
        Sinus Arrest, Cardiac

Professional guidelines

PubMed

Respiratory sinus arrhythmia as a potential measure in substance use treatment--outcome studies.

Price CJ, Crowell SE
Addiction 2016 Apr;111(4):615-25. Epub 2016 Jan 5 doi: 10.1111/add.13232. PMID: 26567088 Free PMC Article

Prophylactic treatment after electroconversion of atrial fibrillation.

Karlson BW, Herlitz J, Edvardsson N, Olsson SB
Clin Cardiol 1990 Apr;13(4):279-86. doi: 10.1002/clc.4960130409. PMID: 2190725

Vincristine treatment of acute lymphoblastic leukemia induces transient autonomic cardioneuropathy.

Hirvonen HE, Salmi TT, Heinonen E, Antila KJ, Välimäki IA
Cancer 1989 Aug 15;64(4):801-5. doi: 10.1002/1097-0142(19890815)64:4<801::aid-cncr2820640406>3.0.co;2-e. PMID: 2743273

See all (21)

Recent clinical studies

Etiology

Follow the leader: Maternal transmission of physiological regulatory support to distressed infants in real-time.

Krzeczkowski JE, Schmidt LA, Ferro MA, Van Lieshout RJ
J Psychopathol Clin Sci 2022 Jul;131(5):524-534. Epub 2022 Jun 2 doi: 10.1037/abn0000760. PMID: 35653753

The Opposite of Stress.

Meier M, Unternaehrer E, Schorpp SM, Wenzel M, Benz A, Bentele UU, Dimitroff SJ, Denk B, Prüssner JC
Exp Psychol 2020 Mar;67(2):150-159. doi: 10.1027/1618-3169/a000483. PMID: 32729407

Dysregulated Fear, Social Inhibition, and Respiratory Sinus Arrhythmia: A Replication and Extension.

Buss KA, Davis EL, Ram N, Coccia M
Child Dev 2018 May;89(3):e214-e228. Epub 2017 Mar 21 doi: 10.1111/cdev.12774. PMID: 28326533 Free PMC Article

Early deprivation and autonomic nervous system functioning in post-institutionalized children.

Esposito EA, Koss KJ, Donzella B, Gunnar MR
Dev Psychobiol 2016 Apr;58(3):328-40. Epub 2015 Oct 24 doi: 10.1002/dev.21373. PMID: 26497289 Free PMC Article

Pediatric arrhythmias.

Hanisch D
J Pediatr Nurs 2001 Oct;16(5):351-62. doi: 10.1053/jpdn.2001.26571. PMID: 11598867

See all (1252)

Diagnosis

Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review.

Schiweck C, Piette D, Berckmans D, Claes S, Vrieze E
Psychol Med 2019 Jan;49(2):200-211. Epub 2018 Aug 23 doi: 10.1017/S0033291718001988. PMID: 30134999

Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects.

Drago F, Battipaglia I, Di Mambro C
Card Electrophysiol Clin 2018 Jun;10(2):397-412. doi: 10.1016/j.ccep.2018.02.008. PMID: 29784491

Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm?

Yasuma F, Hayano J
Chest 2004 Feb;125(2):683-90. doi: 10.1378/chest.125.2.683. PMID: 14769752

Pediatric arrhythmias.

Hanisch D
J Pediatr Nurs 2001 Oct;16(5):351-62. doi: 10.1053/jpdn.2001.26571. PMID: 11598867

Sinus arrhythmia.

Snowberger P
RN 1992 Jan;55(1):50-1. PMID: 1535979

See all (1005)

Therapy

Heart rate variability and cardiovascular diseases: A Mendelian randomization study.

Zhao Y, Yu H, Gong A, Zhang S, Xiao B
Eur J Clin Invest 2024 Jan;54(1):e14085. Epub 2023 Aug 29 doi: 10.1111/eci.14085. PMID: 37641564

The Opposite of Stress.

Meier M, Unternaehrer E, Schorpp SM, Wenzel M, Benz A, Bentele UU, Dimitroff SJ, Denk B, Prüssner JC
Exp Psychol 2020 Mar;67(2):150-159. doi: 10.1027/1618-3169/a000483. PMID: 32729407

Vernakalant.

Dobrev D, Hamad B, Kirkpatrick P
Nat Rev Drug Discov 2010 Dec;9(12):915-6. doi: 10.1038/nrd3323. PMID: 21119728

Pediatric arrhythmias.

Hanisch D
J Pediatr Nurs 2001 Oct;16(5):351-62. doi: 10.1053/jpdn.2001.26571. PMID: 11598867

Sick-sinus syndrome.

Lancet 1972 Oct 14;2(7781):808. PMID: 4116242

See all (769)

Prognosis

Interactive effects of childhood maltreatment and tonic respiratory sinus arrhythmia on young adults' depressive symptoms.

Zhang H, Luo Y, Davis T, Zhang L
Psychophysiology 2021 Oct;58(10):e13900. Epub 2021 Jul 20 doi: 10.1111/psyp.13900. PMID: 34287947

Stress and parenting predict changes in adolescent respiratory sinus arrhythmia.

Fox AR, Aldrich JT, Ahles JJ, Mezulis AH
Dev Psychobiol 2019 Dec;61(8):1214-1224. Epub 2019 May 11 doi: 10.1002/dev.21863. PMID: 31077349 Free PMC Article

Infant Attachment Insecurity and Baseline Physiological Activity and Physiological Reactivity to Interpersonal Stress: A Meta-Analytic Review.

Groh AM, Narayan AJ
Child Dev 2019 May;90(3):679-693. Epub 2019 Jan 10 doi: 10.1111/cdev.13205. PMID: 30629289

Pacemaker therapy.

Kowey PR, Mullan DF, Wetstein L
Surg Clin North Am 1985 Jun;65(3):595-611. doi: 10.1016/s0039-6109(16)43639-x. PMID: 3898432

The sick sinus syndrome.

Ferrer MI
Circulation 1973 Mar;47(3):635-41. doi: 10.1161/01.cir.47.3.635. PMID: 4571058

See all (819)

Clinical prediction guides

Fundamental challenges and likely refutations of the five basic premises of the polyvagal theory.

Grossman P
Biol Psychol 2023 May;180:108589. Epub 2023 May 24 doi: 10.1016/j.biopsycho.2023.108589. PMID: 37230290

Interactive effects of childhood maltreatment and tonic respiratory sinus arrhythmia on young adults' depressive symptoms.

Zhang H, Luo Y, Davis T, Zhang L
Psychophysiology 2021 Oct;58(10):e13900. Epub 2021 Jul 20 doi: 10.1111/psyp.13900. PMID: 34287947

Stress and parenting predict changes in adolescent respiratory sinus arrhythmia.

Fox AR, Aldrich JT, Ahles JJ, Mezulis AH
Dev Psychobiol 2019 Dec;61(8):1214-1224. Epub 2019 May 11 doi: 10.1002/dev.21863. PMID: 31077349 Free PMC Article

Dysregulated Fear, Social Inhibition, and Respiratory Sinus Arrhythmia: A Replication and Extension.

Buss KA, Davis EL, Ram N, Coccia M
Child Dev 2018 May;89(3):e214-e228. Epub 2017 Mar 21 doi: 10.1111/cdev.12774. PMID: 28326533 Free PMC Article

Respiratory sinus arrhythmia: why does the heartbeat synchronize with respiratory rhythm?

Yasuma F, Hayano J
Chest 2004 Feb;125(2):683-90. doi: 10.1378/chest.125.2.683. PMID: 14769752

See all (1084)

Recent systematic reviews

Methods for Heart Rate Variability Biofeedback (HRVB): A Systematic Review and Guidelines.

Lalanza JF, Lorente S, Bullich R, García C, Losilla JM, Capdevila L
Appl Psychophysiol Biofeedback 2023 Sep;48(3):275-297. Epub 2023 Mar 14 doi: 10.1007/s10484-023-09582-6. PMID: 36917418 Free PMC Article

A Systematic Review of Respiratory Sinus Arrhythmia in Romantic Relationships.

Han SC, Baucom B, Timmons AC, Margolin G
Fam Process 2021 Jun;60(2):441-456. Epub 2021 Mar 16 doi: 10.1111/famp.12644. PMID: 33724463 Free PMC Article

Psychophysiological activity and reactivity in children and adolescents with conduct problems: A systematic review and meta-analysis.

Fanti KA, Eisenbarth H, Goble P, Demetriou C, Kyranides MN, Goodwin D, Zhang J, Bobak B, Cortese S
Neurosci Biobehav Rev 2019 May;100:98-107. Epub 2019 Feb 21 doi: 10.1016/j.neubiorev.2019.02.016. PMID: 30797946

Infant Attachment Insecurity and Baseline Physiological Activity and Physiological Reactivity to Interpersonal Stress: A Meta-Analytic Review.

Groh AM, Narayan AJ
Child Dev 2019 May;90(3):679-693. Epub 2019 Jan 10 doi: 10.1111/cdev.13205. PMID: 30629289

Heart rate and high frequency heart rate variability during stress as biomarker for clinical depression. A systematic review.

Schiweck C, Piette D, Berckmans D, Claes S, Vrieze E
Psychol Med 2019 Jan;49(2):200-211. Epub 2018 Aug 23 doi: 10.1017/S0033291718001988. PMID: 30134999

See all (18)

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Sinus arrhythmia

Definition

Term Hierarchy

Professional guidelines

PubMed

Recent clinical studies

Etiology

Diagnosis

Therapy

Prognosis

Clinical prediction guides

Recent systematic reviews

Supplemental Content

Table of contents

Practice guidelines

Related information

Recent activity