II. Causes

  1. Usually idiopathic and benign
  2. Catecholamine excess
  3. Hypoxia
  4. Myocardial Ischemia
  5. Congestive Heart Failure
  6. Acid-base disturbance
  7. Electrolyte abnormality

III. Signs: EKG Findings

  1. No compensatory pause
  2. P Wave included in Extrasystole
  3. Associated with right bundle branch
  4. Normal narrow QRS with normal axis

IV. Precautions

  1. Supraventricular Premature Complexes (SVPCs) are associated with risk of Atrial Fibrillation and cardiac events
    1. Murakoshi (2015) Eur Heart J. 2015 Jan 14;36(3):170-8 +PMID:25358506 [PubMed]

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Ontology: Atrial Premature Complexes (C0033036)

Definition (NCI_CDISC) An electrocardiographic finding of an ectopic impulse originating in the atria and not specifically in the sinus node. The P wave morphology of these complexes is often different from a sinus P wave and the RR intervals preceding these complexes is also shorter than those of the regular beats.
Definition (NCI) An electrocardiographic finding of an ectopic impulse originating in the atria and not specifically in the sinus node. The P wave morphology of these complexes is often different from a sinus P wave and the RR intervals preceding these complexes is also shorter than those of the regular beats. (CDISC)
Definition (MSH) A type of cardiac arrhythmia with premature atrial contractions or beats caused by signals originating from ectopic atrial sites. The ectopic signals may or may not conduct to the HEART VENTRICLES. Atrial premature complexes are characterized by premature P waves on ECG which are different in configuration from the P waves generated by the normal pacemaker complex in the SINOATRIAL NODE.
Concepts Finding (T033)
MSH D018880
ICD9 427.61
ICD10 I49.1
SnomedCT 60299007, 251169001, 73712003, 195094000, 155366006, 63593006, 284470004, 287057009, 406461004
LNC LP31000-0, MTHU024511, LA17094-6
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Italian Extrasistoli sopraventricolari, Extrasistolia sopraventricolare, Battito prematuro atriale, Extrasistole sopraventricolare, Battito atriale prematuro, Extrasistoli premature sopraventricolari, Battiti atriali ectopici, Extrasistole atriale, Contrazioni atriali premature, Battiti prematuri sopraventricolari, Battiti ectopici atriali, Extrasistoli atriali
Dutch atriumextrasystole, SVE, premature atriumslag, supraventriculaire ectopische slagen, premature atriumcontractie, supraventriculaire extrasystoles, supraventriculaire premature hartslagen, ectopische atriumslagen, PAC, atrium; ectopische slagen, atrium; extrasystole, atrium; premature contractie, contractie; prematuur, atrium, ectopie; atriale slagen, ectopie; slagen, atriaal, extrasystole; atriaal [boezem], prematuur; contractie, atrium, prematuur; slag, atrium, prematuur; slagen, atrium, slag; prematuur, atrium, slagen; ectopie, atriaal, slagen; prematuur, atrium, supraventriculaire extrasystole, Atriale ectopische hartslag, Atriale premature depolarisatie, Depolarisatie, atriale premature, Extrasystole, atriale, Premature atriale hartslag, Premature atriale systole, Premature supraventriculaire hartslag
French ESSV, Battement auriculaire prématuré, Battements auriculaires ectopiques, CAP, Battements prématurés supraventriculaires, EXTRASYSTOLES SUPRAVENTRICULAIR, Extrasystoles supraventriculaires, Contraction auriculaire prématurée, Extrasystole auriculaire, Extrasystole atriale, Extrasystoles atriales, Extrasystoles auriculaires
German ektopische Herzschlaege Vorhof, SVE, PAC, supraventrikulaere ektopische Herzschlaege, supraventrikulaere Vorhofextrasystolen, Extrasystolen supraventrikulaer, verfruehte Vorhofkontraktion, Vorhofextrasystole, EXTRASYSTOLEN SUPRAVENTRIKULAER, Vorhofextrasystolie, supraventrikulaere Extrasystolen, Atriale Extrasystoliekomplexe, Atriale ektopische Systolen, Ektopische Systolen, Vorhof, Extrasystolie, Vorhof-, Extrasystolie, atriale, Vorhofextrasystolen, Vorzeitige Vorhofkontraktionen, Extrasystolie, supraventrikuläre, Supraventrikuläre Extrasystolen
Portuguese Extra-sístole auricular, Extra-sístole supraventricular, Contracções auriculares ectópicas, Contracção auricular prematura, Ritmos ectópicos supraventriculares, Contracções prematuras supraventriculares, Extra-sístoles auriculares, EXTRASISTOLES SUPRAVENTRICULARES, Extrassístole Atrial, Extra-sístoles supraventriculares, Batimentos Atriais Prematuros, Batimentos Ectópicos Atriais, Batimentos Supraventriculares Prematuros, Complexos Atriais Prematuros, Contrações Atriais Prematuras
Spanish Latidos auriculares ectópicos, Contracción auricular prematura, Extrasístoles auriculares, CAP, Latido prematuro auricular, ESV, Focos ectópicos supraventriculares, Latidos prematuros supraventriculares, EXTRASISTOLES SUPRAVENTRICULARES, Complejos Atriales Prematuros, sístoles auriculares prematuras, extrasístoles auriculares, extrasístoles auriculares (trastorno), Complejos Auriculares Prematuros, Complejos Prematuros Atriales, Complejos Prematuros Auriculares, complejo auricular prematuro (trastorno), complejo auricular prematuro, contracción auricular prematura (trastorno), contracción auricular prematura, despolarización auricular prematura, extrasístoles supraventriculares (trastorno), extrasístoles supraventriculares, Extrasístoles supraventriculares, latidos auriculares ectópicos, latidos auriculares ectópicos (trastorno), Contracciones Atriales Prematuras, Extrasístoles Atriales, Latidos Ectópicos Atriales, Latidos Prematuros Atriales, Latidos Supraventriculares Prematuros
Japanese 異所性心房期外収縮, 異所性上室期外収縮, イショセイジョウシツキガイシュウシュク, ジョウシツセイキガイシュウシュク, イショセイシンボウキガイシュウシュク, シンボウセイキガイシュウシュク, 期外収縮-心房性, 上室性期外収縮, 心房性期外収縮, 心房性異所性収縮, 期外収縮-上室性
Swedish Förmaksprematurslag
Finnish Eteislisälyönnit
Russian EKSTRASISTOLA PREDSERDNAIA, NADZHELUDOCHKOVAIA EKSTRASISTOLA, EKSTRASISTOLA NADZHELUDOCHKOVAIA, PREDSERDII EKTOPICHESKIE SOKRASHCHENIIA, НАДЖЕЛУДОЧКОВАЯ ЭКСТРАСИСТОЛА, ПРЕДСЕРДИЙ ЭКТОПИЧЕСКИЕ СОКРАЩЕНИЯ, ЭКСТРАСИСТОЛА НАДЖЕЛУДОЧКОВАЯ, ЭКСТРАСИСТОЛА ПРЕДСЕРДНАЯ
Czech Supraventrikulární předčasné stahy, Supraventrikulární extrasystoly, Síňové extrasystoly, Ektopické síňové stahy, Předčasný síňový stah, Supraventrikulární ektopie, předčasné atriální kontrakce, síňové extrasystoly, předčasné síňové kontrakce
Korean 심방 조기 탈분극
Polish Ekstrasystolia przedsionkowa, Pobudzenie nadkomorowe przedwczesne, Pobudzenia przedsionkowe przedwczesne, Skurcz przedsionków przedwczesny
Hungarian Korai pitvari ütés, Supraventricularis korai ütések, SVE, Pitvari ectopiás ütések, PAC, Supraventricularis extrasystolék, Extrasystolék, supraventricularis, Pitvari korai összehúzódás, Supraventricularis ectopiák, Atrialis extrasystolék
Norwegian Atrieekstrasystole, Atriale premature slag, Premature atriekontraksjoner, Atriale ektopiske slag, Premature supraventrikulære ekstrasystoler