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49 Possible Causes for Exertional Dyspnea, 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] dyspnea , a feeling of pressure in the chest Later stages Progressive left heart failure and right heart failure Relative mitral valve regurgitation Diagnostics Patient history[amboss.com] dyspnea, angina, syncope, sudden death Systolic murmur mitral regurgitation murmur, S4 Bifid carotid pulse with a brisk upstroke and rapid downstroke Exertional dyspnea and[merckmanuals.com]

  • 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]

  • 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] The patient developed progressive exertional dyspnea, with clinical and laboratory findings of right-sided heart failure and pulmonary hypertension.[ncbi.nlm.nih.gov] Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase[quizlet.com]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] He reported experiencing 3 days of fatigue, myalgias, palpitations, and dyspnea on exertion, but was otherwise hemodynamically stable.[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]

  • Hypertrophic Cardiomyopathy

    New subtype of apical hypertrophic cardiomyopathy identified with nuclear magnetic resonance imaging as an underlying cause of markedly inverted T-waves.[doi.org] METHODS AND RESULTS: A 10-month female infant who experienced cough, fever, aggressive exertional dyspnea, and recurrent cyanosis was admitted to our hospital.[ncbi.nlm.nih.gov] Treatment strategies depend on appropriate patient selection, including drug treatment for exertional dyspnea (beta-blockers, verapamil, disopyramide) and the septal myotomy-myectomy[ncbi.nlm.nih.gov]

  • Atrial Flutter

    Retrograde atrial conduction produces: Inverted flutter waves in leads II,III, aVF Positive flutter waves in V1 – may resemble upright P waves Clockwise Reentry.[lifeinthefastlane.com] Here is an example of smaller P waves seen in between the QRS complexes: Can you see the P waves? They are upside down (inverted) in this example.[teachingmedicine.com] There are inverted flutter waves in II, III aVF at a rate of 300 bpm (one per big square) There are upright flutter waves in V1 simulating P waves There is a 2:1 AV block[lifeinthefastlane.com]

  • Arrhythmogenic Right Ventricular Dysplasia

    PLN mutation carriers more often had low-voltage electrocardiograms (p 0.004), inverted T waves in leads V4 to V6 (p Copyright 2013 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov] The signs and symptoms of Arrhythmogenic Right Ventricular Cardiomyopathy include: Shortness of breath during physical activity/exertion (exertional dyspnea) Shortness of[dovemed.com] Ventricular tachycardia at presentation (hazard ratio [HR]: 1.86; 95% confidence interval [CI], 1.38-2.49; P P P 0.001), inverted T waves in 3 precordial leads (HR: 1.66;[ncbi.nlm.nih.gov]

  • 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] After treatment with diuretics, the peripheral edema improved significantly, but the patient still complained of severe dyspnea on exertion during the hospitalization.[casesjournal.biomedcentral.com] Prolonged elevation of pulmonary venous pressure results in dyspnea (particularly during exertion) and orthopnea. Fatigue may be severe.[merckmanuals.com]

  • Patent Foramen Ovale

    Adults with an uncorrected ASD will present with symptoms of dyspnea on exertion (shortness of breath with minimal exercise), congestive heart failure, or cerebrovascular[marmur.com]

  • 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] Adult life: Ebstein anomaly presents with fatigue, exertional dyspnea, cyanosis, tricuspid regurgitation and/or right heart failure, and palpitations; arrhythmias are common[emedicine.medscape.com] The right atrium and sinus node are on the patient’s left side and yield a P-wave axis that remains inferiorly oriented but displaced to the right.[doi.org]

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