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Living with Atrial standstill

A rare heart rhythm condition in which the upper heart chambers stop their electrical and muscle activity.

Understanding Atrial standstill

Atrial standstill is a rare heart rhythm condition in which the upper heart chambers have no electrical or mechanical activity, either briefly or permanently.

Heart tracings (ECGs) show a slow heart rate and no P waves. It usually appears in adults. Related heart and muscle conditions can occur with it.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Abnormal heart rate (arrhythmia)
  • Palpitations
  • Tiredness
  • Trouble breathing
  • Dizziness or fainting
  • Delayed electrical signals in the heart

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Children's Cardiomyopathy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Children's Cardiomyopathy Foundation
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Cardiomyopathy Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would a pacemaker or other device be considered for me?
Should I be checked for related muscle or heart muscle conditions?
Would genetic testing help my relatives?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

Genetic

Also known as: atrial arrest; atrial cardiomyopathy with heart block; silent atrium; sinus arrest

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Atrial standstillGARD ID 16564 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Atrial standstill.

Explore the Atrial standstill blog

Explore research for Atrial standstill

Explore actively recruiting Atrial standstill studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Atrial standstill with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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