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Any atrial standstill in which the cause of the disease is a mutation in the NPPA gene.
Features include: Stroke, Bradycardia, Atrial standstill, and Atrial arrhythmia and 9 more.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 7 | Stroke, Bradycardia, Atrial standstill |
Brain and nerves |
NPPA encodes natriuretic peptide A (151 aa). Hormone that plays a key role in mediating cardio-renal homeostasis, and is involved in vascular remodeling and regulating energy metabolism. Highest expression in Heart Atrial Appendage (28,754 TPM) and Heart Left Ventricle (35.8 TPM).
Atrial standstill 2 is associated with mutations in the NPPA gene on chromosome 1.
The NPPA protein participates in Expression of NPPA (ANF) and CORIN(802-1042) hydrolyses NPPA to form NPPA(124-151) pathways.
NPPA is classified as a druggable target (Druggable Genome and Hormone Activity categories) with score 26.1.
Genetic testing for NPPA is available. Testing is considered confirmatory for diagnosis.
No clinical trials have been registered for atrial standstill 2.
11 publications have been identified in PubMed for atrial standstill 2. Research spans Case Report / Case Series (64%), Review / Meta-Analysis (27%), and Epidemiology / Natural History (9%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 7 | 64% |
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 3:30 AM UTC
Online Mendelian Inheritance in Man
Genetic and Rare Diseases Info Center
1
Stroke |
Lungs and breathing | 1 | Dyspnea |
3 |
27% |
Disease patterns and progression | 1 | 9% |
Marini M (2026). [PMID: 41590864](https://pubmed.ncbi.nlm.nih.gov/41590864/). *J Cardiovasc Dev Dis*. [Case Report / Case Series]
Marini M (2026). [PMID: 42015515](https://pubmed.ncbi.nlm.nih.gov/42015515/). *Europace*. [Epidemiology / Natural History]
Arumugam P (2026). [PMID: 41727304](https://pubmed.ncbi.nlm.nih.gov/41727304/). *HeartRhythm Case Rep*. [Case Report / Case Series]
Surget E (2025). [PMID: 41280527](https://pubmed.ncbi.nlm.nih.gov/41280527/). *Heart Rhythm O2*. [Review / Meta-Analysis]
Carella MC (2025). [PMID: 41464675](https://pubmed.ncbi.nlm.nih.gov/41464675/). *J Clin Med*. [Review / Meta-Analysis]
Forleo C (2025). [PMID: 40838933](https://pubmed.ncbi.nlm.nih.gov/40838933/). *JACC Case Rep*. [Case Report / Case Series]
Wu Z (2025). [PMID: 40379367](https://pubmed.ncbi.nlm.nih.gov/40379367/). *JACC Case Rep*. [Case Report / Case Series]
Męcka K (2025). [PMID: 39743910](https://pubmed.ncbi.nlm.nih.gov/39743910/). *Kardiol Pol*. [Case Report / Case Series]
Rollet M (2025). [PMID: 41624282](https://pubmed.ncbi.nlm.nih.gov/41624282/). *Front Vet Sci*. [Case Report / Case Series]
Chandler SF (2024). [PMID: 38749643](https://pubmed.ncbi.nlm.nih.gov/38749643/). *Card Electrophysiol Clin*. [Review / Meta-Analysis]