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28 Possible Causes for Cardiomegaly on Chest X-ray, Inverted P Wave

  • Cardiomyopathy

    There are some signs of left atrial enlargement — leftward deviation of the P wave axis (positive P waves in I and aVL, inverted in III and aVF) and prolongation of the terminal[lifeinthefastlane.com] x-ray Cardiomegaly left-sided hypertrophy with a balloon appearance Signs of heart failure decompensation: pulmonary edema Endomyocardial biopsy (see pathology) Pathology[amboss.com] Chest x-ray showed moderate cardiomegaly and bibasilar interstitial infiltrate. Electrocardiography (ECG) registered sinus tachycardia.[scielo.mec.pt]

  • Anomalies of Coronary Artery Origin

    Pediatr Cardiol. 2013 Apr;34(4):907-11. doi: 10.1007/s00246-012-0569-0. Epub 2012 Nov 11. Author information 1 Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Meyer Children's Hospital, Rambam Health Care Campus, Box 9602, 31096, Haifa, Israel. Abstract Coronary artery anomalies may increase[…][ncbi.nlm.nih.gov]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] Chest X-ray did not show any evidence of cardiomegaly or pulmonary congestion and 2-D echocardiogram revealed normal left ventricular systolic and diastolic functions.[casesjournal.biomedcentral.com] waves may be non-identifiable, especially when the ventricular rate is high If P waves are present, they will likely be inverted in leads II, III, and aVf QRS complex duration[medictests.com]

  • Dilated Cardiomyopathy

    There are some signs of left atrial enlargement — leftward deviation of the P wave axis (positive P waves in I and aVL, inverted in III and aVF) and prolongation of the terminal[lifeinthefastlane.com] Chest x-ray shows cardiomegaly, usually of all chambers.[merckmanuals.com] The next one is a chest x-ray which I'll just abbreviate CXR and this is going to show something called cardiomegaly. This just means enlarged heart.[khanacademy.org]

  • Pericarditis

    PTa depression (depression between the end of the P-wave and the beginning of the QRS- complex) stage II: pseudonormalisation (transition) stage III: inverted T-waves stage[en.ecgpedia.org] Bilateral pleural effusion, patchy infiltration at right middle lung field, and cardiomegaly were noted on chest X-ray (Figure 1A ).[casesjournal.biomedcentral.com] Chest x-ray (although may have unspecific findings, it is easily accessible with low radiation exposure) findings: Epicardial halo (luscent lines within the cardiopericardial[clinicaladvisor.com]

  • Transposition of the Great Vessels

    P waves in lead 2, widened QRS complexes, and upright T waves in the precordial leads, beginning either in RV4 or V1.[pediatrics.aappublications.org] x-rays, which reveal Cardiomegaly or enlargement of the heart Plethoric lung fields, or prominent blood vessels in the lungs Cardiac MRI How is Transposition of Great Vessels[medindia.net] The electrocardiogram usually shows A-V block, most often first degree, or A-V dissociation, inverted QRS patterns in the precordial leads (qR in V1 and RS in V6), peaked[pediatrics.aappublications.org]

  • Acute Pericarditis

    PTa depression (depression between the end of the P-wave and the beginning of the QRS- complex) stage II: pseudonormalisation (transition) stage III: inverted T-waves stage[en.ecgpedia.org]

  • Ebstein Malformation

    In the absence of an ectopic focus, P waves are upright in aVR and inverted in I and aVL. 95 Ventricular depolarization and repolarization occur in an inverse fashion.[doi.org] Shown below is the chest x-ray of a patient with Ebstein's anomaly which demonstrates cardiomegaly : Management Patients are treated depending on their presentation – asymptomatic[pedclerk.bsd.uchicago.edu] The chest x-ray shows cardiomegaly with right side enlargement, clear lungs, and a small hilum.[rwjms1.umdnj.edu]

  • Common Ventricle

    […] outlet chamber ECG 22.  DILV-noninverted outlet chamber PR normal P wave-  LAE in increased PBF  RAE in decreased PBF QRS axis away from inverted outlet chamber LAD- Counterclockwise[slideshare.net] Conduction problem  PR interval prolongation  Complete heart block is occasional and progressive  The P wave axis shifts to the left, so tall peaked right atrial P waves[slideshare.net] waves show right atrial abnormalities  The PR interval tends to be normal with normal atrioventricular conduction despite an elongated nonbranching penetrating bundle 16.[slideshare.net]

  • Endomyocardial Fibrosis

    Common ECG findings of EMF include P-wave abnormalities, reduced QRS voltages, and flattened or inverted T-waves. 10 TTE was previously the primary imaging tool for identifying[bjcardio.co.uk] Chest X-ray showed cardiomegaly. Echocardiogram showed dilated right atrium and obliteration of the apex of the right ventricle.[ingentaconnect.com] The chest X-ray showed mild cardiomegaly and marked calcification of the left ventricle ( Figure 1 A, arrow).[revportcardiol.org]

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