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75 Possible Causes for Dyspnea, 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] Case 1, a 43-year old man was admitted to our hospital with dyspnea 10 days before admission. He denied any recent trauma or previous treatment for lung tuberculosis.[ncbi.nlm.nih.gov] A 70-year-old man with a history of esophagectomy presented with 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] Symptoms: Patients with cardiomyopathy will typically present with dyspnea, orthopnea, paroxysmal nocturnal dyspnea, bilateral edema, and fatigue.[symptoma.com] However, after 10 infusions the patient developed dyspnea, edema of the legs, ascites and a weight gain of 10 kg because of a decompensated heart insufficiency with a reduced[ncbi.nlm.nih.gov]

  • Anomalies of Coronary Artery Origin

    Keywords ALCAPA; Sudden cardiac death; Anomalous origin of the coronary arteries; Syncope; Exercise intolerance; Dyspnea; Chest pain Epidemiology Heart disease represents[omicsonline.org] […] the tangential proximal course of the artery are some other mechanisms postulated to compromise coronary blood flow, which can manifest as angina, palpitations, syncope, dyspnea[mdmag.com] […] who had undergone mechanical mitral and aortic valve implantation to treat rheumatic valvular disease, had a dual-chamber pacemaker, and was hospitalized for progressive dyspnea[revespcardiol.org]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] Sudden onset of an accelerated heart rate can cause palpitations, light-headedness, chest discomfort, anxiety, dyspnea, or fatigue.[ncbi.nlm.nih.gov] 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]

  • 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] […] syndrome for prompt resolution of potentially life-threatening complications in all AS patients, especially those presenting with the symptoms of palpitation, dizziness, dyspnea[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]

  • 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] The review of systems was negative including no palpitations, dyspnea or syncope.[pediatriceducation.org]

  • Pulmonary Disorder

    The most typical ECG findings in emphysema are: Rightward shift of the P wave axis with prominent P waves in the inferior leads and flattened or inverted P waves in leads[lifeinthefastlane.com] Patients with chronic obstructive pulmonary disease typically present with coughing, sputum production, and dyspnea on exertion.[aafp.org] Evaluation parameters are maximal inspiratory pressure, six minute walk test, COPD assessment test, modified Medical research council dyspnea scale and spirometry.[clinicaltrials.gov]

  • Cor Pulmonale

    The most typical ECG findings in emphysema are: Rightward shift of the P wave axis with prominent P waves in the inferior leads and flattened or inverted P waves in leads[lifeinthefastlane.com] METHODS AND RESULTS: We report the case of a 40-year-old woman who died after 3 days of progressive dyspnea, cough, and pulmonary hypertension.[ncbi.nlm.nih.gov] The electrocardiogram evidenced sinus rhythm with 100 bpm, peaked P wave and inverted T wave from V1 to V3.[scielo.br]

  • Pulmonary Emphysema

    The most typical ECG findings in emphysema are: Rightward shift of the P wave axis with prominent P waves in the inferior leads and flattened or inverted P waves in leads[lifeinthefastlane.com] Feasibility, safety, and efficacy were analyzed by means of pulmonary function testing, 6-min walk test, dyspnea score, BODE (body mass index, air-flow obstruction, dyspnea[ncbi.nlm.nih.gov] Chronic dyspnea was also scored by modified Medical Research Council (mMRC) scale.[ncbi.nlm.nih.gov]

  • Patent Foramen Ovale

    KEYWORDS: dyspnea; focal neurological deficit; high altitude; paradoxical embolus; patent foramen ovale; stroke[ncbi.nlm.nih.gov] We discuss a case of a 74-year-old man presented to the emergency department with acute dyspnea and chest pain.[ncbi.nlm.nih.gov] A history of congenital heart diseases and decompression illness, together with dyspnea associated with postural change and platypnea-orthodeoxia syndrome, strongly suggests[symptoma.com]

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