What is the Difference Between PAC and Sinus Arrhythmia?
🆚 Go to Comparative Table 🆚The main difference between premature atrial contraction (PAC) and sinus arrhythmia lies in the regularity of the heart rhythm.
Sinus Arrhythmia:
- It is a normal variation in heart rhythm, often observed in young healthy individuals.
- The heart rate increases when you breathe in and decreases when you breathe out.
- On an electrocardiogram (ECG), sinus arrhythmia appears as a regular variation in the RR interval, accompanied by uniform and upright P waves.
- Sinus arrhythmia is usually a sign of good cardiovascular health.
Premature Atrial Contraction (PAC):
- PACs are early beats that originate from the atria, the upper chambers of the heart.
- Occasional PACs are usually benign, but frequent PACs can sometimes indicate underlying heart disease or trigger other arrhythmias.
- On an ECG, PACs are identified by an early and often different-looking P wave, followed by a QRS complex and a compensatory pause.
In summary, sinus arrhythmia is a regular variation in heart rhythm, while PACs are irregular, early beats that can disrupt the rhythm. Sinus arrhythmia is typically a sign of good cardiovascular health, whereas PACs can sometimes indicate underlying heart issues.
Comparative Table: PAC vs Sinus Arrhythmia
Here is a table summarizing the differences between Premature Atrial Contractions (PAC) and Sinus Arrhythmia:
Feature | Premature Atrial Contractions (PAC) | Sinus Arrhythmia |
---|---|---|
Origin | Extra heartbeats that begin in the atria | Irregularity in the heart rhythm that begins at the sinus node |
Rhythm | Irregular, early beats | Regular variation in the "RR interval" (time between each beat) |
ECG | Early, often different-looking P wave, followed by a QRS complex and a compensatory pause | Regular variation in the "RR interval" and uniform, upright P waves |
Causes | Drop in blood going into the heart, injury to the heart, hypertrophic cardiomyopathy, imbalance of electrolytes or minerals | More pronounced in young, healthy people and characterized by a heart rate that increases when breathing in and decreases when breathing out |
Treatment | Occasional PACs are usually benign, frequent PACs can sometimes indicate underlying heart disease or trigger other arrhythmias | Occasional PACs are usually benign, frequent PACs can sometimes indicate underlying heart disease or trigger other arrhythmias |
To summarize the difference between PAC and Sinus Arrhythmia, PACs are extra heartbeats that originate in the atria and have an irregular rhythm, while sinus arrhythmia is a regular variation in the heart rhythm that originates at the sinus node.
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