Prevalence and natural course of ectopic atrial tachycardia
Abstract
AIMS: The purpose of this study was to calculate the prevalence of ectopic atrial tachycardia in a population of young asymptomatic males and to assess its natural course both in asymptomatic subjects and in symptomatic hospital patients. METHODS AND RESULTS: 12-lead electrocardiograms (ECG) of 3554 consecutive males applying for a pilot's licence were analysed. ECGs of symptomatic arrhythmia patients at two university hospitals were also analysed. A repeat ECG was taken in cases of ectopic atrial tachycardia to assess the natural course of this arrhythmia. Twelve out of 3554 asymptomatic subjects (prevalence 0.34%) and 17 out of 3700 symptomatic arrhythmia patients (prevalence 0.46%) had ECG evidence of ectopic atrial tachycardia. A repeat ECG was obtained after a mean follow-up of 8+/-3 years in asymptomatic subjects and 7+/-3 years in symptomatic patients. After the follow-up, seven (26%) out of 27 patients were still in a similar ectopic atrial rhythm, 10 (37%) showed a change in P wave morphology and 10 (37%) were in sinus rhythm. Heart rate was significantly slower (mean rate 81+/-19 vs 109+/-17 beats. min-1) in the repeat ECGs. CONCLUSION: Asymptomatic ectopic atrial tachycardia is not an uncommon finding in a population of young males. The majority of patients show slowing of heart rate in the course of time, either with restoration of sinus rhythm or with a change in P wave morphology, suggesting that the ectopic foci undergo gradual degeneration with time.
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Focal atrial tachycardia prevalence in asymptomatic young people is 0.34%, and 0.46% in symptomatic patients.
“In asymptomatic young people the prevalence of focal AT has been reported to be as low as 0.34%, with an increased prevalence of 0.46% in symptomatic patients.99”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [99]
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Savouré, A., Verdonck, A., Anselme, F., & Ouali, S. (2006) · EMC - Cardiologie · doi:10.1016/s1166-4568(03)00112-8
Roberts‐Thomson, K. C., & Kalman, J. M. (2009) · Springer eBooks · doi:10.1007/978-3-540-29676-8_172
Meyer, H., & Kramer, H.-H. (2004) · Springer eBooks · doi:10.1007/978-3-662-10471-2_68
Common Atrial and Ventricular Arrhythmias
Foreman, B. W. (2010) · Humana Press eBooks · doi:10.1007/978-1-60327-963-5_24
Bouar, R. L., Halbwachs, F., Daval, C., & Cismaru, G. L. (2022) · Springer eBooks · doi:10.1007/978-3-031-07357-1_2
CARDIOLOGIA EM FOCO: PREVENÇÃO, DIAGNÓSTICO E TRATAMENTOS ATUAIS
Almeida, A. B., & Horevicht, C. M. (2023) · EPITAYA eBooks · doi:10.47879/ed.ep.2023809
OS DIFERENTES TIPOS DE ARRITMIA CARDÍACA E SEUS MÉTODOS DE TRATAMENTO MAIS USUAIS
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Atrial Tachycardia—Mechanisms and Management
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Tiensuntisook, T., Rungpradubvong, V., Sangpornsuk, N., Thapanasuta, M., Chokesuwattanaskul, R., Prechawat, S., & Jaimchariyatam, N. (2025) · Therapeutic Advances in Chronic Disease · doi:10.1177/20406223251348336
Atrial ectopic tachycardia with myocardial dysfunction requiring repeated ablation: A case report
Whitfield, C. K. F., & Bradley, D. J. (2026) · JOURNAL OF PEDIATRIC CRITICAL CARE · doi:10.4103/jpcc.jpcc_57_25
- Authors
- Poutiainen, A.
- Affiliations
- University of Oulu (FI)
- Corresponding author
- Poutiainen, A
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-05
- Volume
- 20
- Issue
- 9
- Pages
- 694-700
- ISSN
- 0195-668X (ISSN-L)
- OpenAlex
- W2113696212
- Cited by
- 90
- References
- 17
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 7 · 2020: 3 · 2019: 6 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 5 · 2014: 3 · 2013: 3 · 2012: 5
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Heart Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Keywords
- ectopic atrial tachycardia, prevalence, natural course, asymptomatic arrhythmia, young men, P wave morphology, sinus rhythm restoration, heart rate reduction
- MeSH terms
- Adolescent, Adult, Child, Electrocardiography, Female, Humans, Infant, Newborn, Male, Middle Aged, Retrospective Studies, Tachycardia, Ectopic Atrial, Prevalence, Disease Progression
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