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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.[] The episodes caused fatigue and worry, which together created a barrier for living life to the full by making the person give up undertakings.[] 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[]

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

  • 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[] […] 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[] 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[]

  • 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[] ., dyspnea, fatigue) and signs (e.g., edema, rales), hospitalizations, poor quality of life, and shortened survival.[] The electrocardiogram evidenced sinus rhythm with 100 bpm, peaked P wave and inverted T wave from V1 to V3.[]

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

  • 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[] Cardiac arrhythmias also may cause light-headedness, fainting, chest pain, shortness of breath, fatigue or no symptoms at all.[] Retrograde atrial conduction produces: Inverted flutter waves in leads II,III, aVF Positive flutter waves in V1 – may resemble upright P waves Clockwise Reentry.[]

  • 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.[] We present the case of a 44-year-old methamphetamine abuser who had a 3-month history of worsening fatigue and near-syncope.[] Inverted inferior P waves, right-axis deviation. C, Ostium primum ASD. First-degree AV block, left-axis deviation, voltage evidence of right ventricular hypertrophy.[]

  • 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[] 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[] 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[]

  • 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).[] We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019[] These arrhythmias are typically not life-threatening but can lead to symptoms such as palpitations, shortness of breath, chest discomfort, fatigue, dizziness, or fainting[]

  • Heart Block

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

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