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66 Possible Causes for Chest Pain, Inverted P Wave, Slow Pulse

  • 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] Sudden cardiac death Clinical risk assessment Models for estimating sudden cardiac death Prevention of sudden cardiac death Risk of sudden death in children Symptomatic bradycardia[escardio.org] One month after index admission, the patient came back complaining again of chest pain.[ncbi.nlm.nih.gov]

  • Acute Atrial Infarction

    After coronary angiography, the patient had chest pain associated with hypotension, sinus bradycardia, periods of complete atrioventricular block, and one episode of ventricular[jamanetwork.com] Initial electrocardiogram showed atrial fibrillation with slow ventricular response, and pulse rate was 46/min.[e-jnc.org] This is a common complication of atrial infarction that necessitates cardioversion due to continuous chest pain.[ncbi.nlm.nih.gov]

  • 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] […] during the procedure, maternal hemodynamic and respiratory consequences of anesthetic and surgical management resulted in severe fetal heart rate (FHR) decelerations and bradycardia[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]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] (nodal) bradycardia Baseline bradycardia Bigeminal pulse Bigeminy, ventricular Bradyarrhythmia Bradycardia Bradycardia (slow heart rate) Bradycardia, drug induced, in therapeutic[icd9data.com] A 33-yr-old woman developed chest pain and dizziness while on an international commercial flight.[ncbi.nlm.nih.gov]

  • Bradycardia

    This usually appears on an EKG with a normal QRS complex accompanied with an inverted P wave either before, during, or after the QRS complex. [3] An AV junctional escape is[en.wikipedia.org] Bradycardia is a type of arrhythmia that causes a slow heart rate. We often think of a slow pulse as a sign of good health and cardiovascular fitness.[barnesjewish.org] CONCLUSIONS: Chest pain patients with bradycardia have increased HRV compared to those without bradycardia.[ncbi.nlm.nih.gov]

  • Heart Disease

    Signal-averaging by 16-lead HD-ECG in lead III showed the intra-QRS fragmentation and P wave prolongation of 180 ms. (2) First patient with arrhythmogenic right ventricular[ncbi.nlm.nih.gov] Bradycardia is managed by atropine.[symptoma.com] Bradycardia, or a heart rate that’s too slow, is when the heart rate is less than 60 beats per minute.[heart.org]

  • Atrial Arrhythmia

    Procedural complications were symptomatic bradycardia in 2 cases (1%). No thromboembolic complications or deaths occurred.[ncbi.nlm.nih.gov] Similar chest pain, which is not related to myocardial ischaemia, may also occur.[bmj.com] We tested the feasibility of using minute ventilation sensing in a dual chamber rate adaptive pacemaker (DDDR) to shorten the PVARP during exercise in 13 patients with bradycardias[ncbi.nlm.nih.gov]

  • 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] In addition, verapamil readily crosses the placenta and has been shown to cause fetal bradycardia, heart block, depression of contractility, and hypotension.[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]

  • Sinus Bradycardia

    P Waves: Normal. PR Interval: Normal (0.16 second). QRS: Normal (0.08 second).[nurseslearning.com] Trained athletes are prone to bradycardia (slow pulses) with heart rates below 40 beats per minute common at rest.[rjmatthewsmd.com] Recent-onset chest pain in the presence of (sinus) bradycardia is considered to be associated with an acute ischemic syndrome rather than acute pericarditis.[ncbi.nlm.nih.gov]

  • Anomalies of Coronary Artery Origin

    The heart rhythm rapidly progressed from sinus bradycardia to electromechanical dissociation and asystole. The patient was successfully resuscitated.[www2.ccasociety.org] 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]

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