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92 Possible Causes for Fatigue, Inverted P Wave

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] The episodes caused fatigue and worry, which together created a barrier for living life to the full by making the person give up undertakings.[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]

  • 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] These signs and symptoms include: Shortness of breath or trouble breathing, especially with physical exertion Fatigue (tiredness) Swelling in the ankles, feet, legs, abdomen[web.archive.org] Symptoms: Patients with cardiomyopathy will typically present with dyspnea, orthopnea, paroxysmal nocturnal dyspnea, bilateral edema, and fatigue.[symptoma.com]

  • Atrial Arrhythmia

    Patients experiencing atrial fibrillation are at risk for: Blood clots Stroke Heart attack Heart failure Chronic fatigue Death Radiofrequency Ablation for Atrial Fibrillation[uchospitals.edu] […] diminished quality of life by causing you to experience symptoms such as: Palpitations Fluttering sensation due to irregular heart beat Lightheadedness or near fainting Fatigue[uncmedicalcenter.org] But you may feel Palpitations -- an abnormal rapid heartbeat Shortness of breath Weakness or difficulty exercising Chest pain Dizziness or fainting Fatigue Confusion AF can[medlineplus.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] ., dyspnea, fatigue) and signs (e.g., edema, rales), hospitalizations, poor quality of life, and shortened survival.[accessmedicine.mhmedical.com] The electrocardiogram evidenced sinus rhythm with 100 bpm, peaked P wave and inverted T wave from V1 to V3.[scielo.br]

  • 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] […] the heart is beating quickly, but the fatigue can persist after the heartbeat returns to normal.[medicinenet.com] 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 Flutter

    All patients had documented type I AFL, defined electrocardiographically as inverted P waves inscribing saw-tooth pattern in inferior leads (lead II, III, aVF), and upright[kjim.org] Cardiac arrhythmias also may cause light-headedness, fainting, chest pain, shortness of breath, fatigue or no symptoms at all.[hopkinsmedicine.org] Retrograde atrial conduction produces: Inverted flutter waves in leads II,III, aVF Positive flutter waves in V1 – may resemble upright P waves Clockwise Reentry.[litfl.com]

  • Atrial Septal Defect

    Mild right ventricular hypertrophy Inverted P waves in Sinous Venosus type Right Bundle Branch Block is seen which is partial or complete 17.[slideshare.net] We present the case of a 44-year-old methamphetamine abuser who had a 3-month history of worsening fatigue and near-syncope.[ncbi.nlm.nih.gov] Inverted inferior P waves, right-axis deviation. C, Ostium primum ASD. First-degree AV block, left-axis deviation, voltage evidence of right ventricular hypertrophy.[circ.ahajournals.org]

  • 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] Symptoms When you have a PAC, you might notice: A flutter in your chest Fatigue after exercise Shortness of breath or chest pain Lightheadedness or dizziness Causes Doctors[webmd.com] PACS arising close to the AV node (“low atrial” ectopics) activate the atria retrogradely, producing an inverted P wave with a relatively short PR interval 120 ms (PR interval[lifeinthefastlane.com]

  • Wolff-Parkinson-White Syndrome

    Therefore, a circuit is established, being seen as a tachycardia, with normal QRS but with inverted P waves (because of retrograde atrial activation).[web.archive.org] We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019[patientslikeme.com] These arrhythmias are typically not life-threatening but can lead to symptoms such as palpitations, shortness of breath, chest discomfort, fatigue, dizziness, or fainting[houstoncardiovascular.com]

  • Heart Block

    The initial electrocardiogram shows bradycardia with inverted T waves from V 2 -V 5. Figure 2 Progressive changes.[bmcresnotes.biomedcentral.com] Second-degree heart block can cause dizziness, fainting, chest pain, fatigue, shortness of breath and nausea.[ucirvinehealth.org] Mobitz Type I patients may experience dizziness, fatigue, and intolerance to exercise due to the delay of the electrical impulses in the heart.[vacardio.com]

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