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79 Possible Causes for Chest Pain, Inverted P Wave

  • Spontaneous Pneumothorax

    An ECG was administered; findings indicated reversal of the arm leads (right axis deviation and inverted P waves in lead I), but there was no actual limb lead reversal present[ncbi.nlm.nih.gov] Dyspnea and chest pain suddenly appear during successful chemotherapy for metastatic chemosensitive tumors should alert the physician to the possibility of SP.[ncbi.nlm.nih.gov] A 17-year-old man with a history of Nuss operation complained chest pain and dyspnea.[ncbi.nlm.nih.gov]

  • 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] You develop chest pain, palpitations, faintness, or other new or unexplained symptoms.[medlineplus.gov] pain, especially after physical exertion or heavy meals; and heart murmurs .[web.archive.org]

  • Acute Atrial Infarction

    Also, women are less likely to experience the classic symptoms of chest pain ; rather, they may feel a sense of fullness in their chest or pain in their arm, neck, back or[webmd.com] Illustration by JR Bee, Verywell Unstable angina is the partial rupture of an artery which causes chest pains.[verywell.com] He presented to the Emergency Room with sudden onset of severe chest pain. An ECG was performed at 2 hours after the onset of symptom.[eplabdigest.com]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] CASE REPORT: A 33-yr-old woman developed chest pain and dizziness while on an international commercial flight.[ncbi.nlm.nih.gov] A distinguishing characteristic of orthodromic AVRT can therefore be an inverted P-wave (relative to a sinus P wave) that follows each of its regular, narrow QRS complexes[en.wikipedia.org]

  • Anomalies of Coronary Artery Origin

    Are they having any chest pain or dizziness during exertion? What differentiates AAOCA, versus typical chest pain in teens , is chest pain during exercise.[blog.cincinnatichildrens.org] Our case had a chest pain on exertion and myocardial stress test showed ischemia in inferior segment of LV.[openaccessjournals.com] The patients had dyspnea and chest pain.[ijcasereportsandimages.com]

  • Paroxysmal Supraventricular Tachycardia

    Most patients present with palpitations and dizziness, and their electrocardiogram demonstrates a narrow QRS complex and regular tachycardia with hidden or inverted P waves[ncbi.nlm.nih.gov] During PSVT, symptoms suggestive of myocardial ischemia, including chest pain (31%), ST-segment depression (61%), and elevated troponin levels (12%), were common.[ncbi.nlm.nih.gov] P waves in leads II, III, aVF, V 3 -V 6 Rare: References: [1] [3] [4] Pathophysiology AVRT Do not confuse atrioventricular reentrant (or reciprocating) tachycardia ( AVRT[amboss.com]

  • Atrial Arrhythmia

    Similar chest pain, which is not related to myocardial ischaemia, may also occur.[bmj.com] Symptoms of Atrial Fibrillation Palpitations Chest Pain Decreased blood pressure Weakness Lightheadedness Shortness of breath Only a few years ago, people suffering from this[emoryhealthcare.org] At other times, palpitations, chest pain , dizziness and shortness of breath warn of atrial fibrillations, according to the NIH.[livescience.com]

  • Premature Atrial Contractions

    wave is abnormal Premature (earlier than expected) Morphology different than normal P wave Inverted P wave suggests atrial source near AV junction Nearly normal P waves suggest[fprmed.com] They typically are not associated with chest pain, fatigue, dyspnea, or syncope.[alivecor.com.hk] Other associated symptoms that include: Lightheadedness Profuse sweating Breathing difficulty Chest pain Diagnosis The doctor may ask to know about the medical history of[symptoma.com]

  • Cardiac Pacemaker Insertion

    pain.[ncbi.nlm.nih.gov] pain 10 days after implantation of a dual chamber permanent pacemaker.[casereports.bmj.com] She denies having chest pain or dyspnoea. Picture credit: WaveBreakMediaMicro/Dollar Photo Club. Model used for illustrative purposes only.[cardiologytoday.com.au]

  • Atrial Bigeminy

    P wave with a PRI 120ms.[app.figure1.com] .  58 year old male Mr.Kannan, who came to hypertension OP for routine checkup No H/o chest pain, palpitation or syncope Known smoker for past 20 years – 10 cigarettes[slideshare.net] He denies any chest pains, dizziness or palpitations. In fact, he feels completely well. Q1 What does this ECG show?[ecgclass.co.uk]

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