Create issue ticket

97 Possible Causes for Inverted P Wave

  • Atrial Bigeminy

    P wave with a PRI 120ms.[app.figure1.com] This is visible on the ECG as an inverted P wave (“ retrograde P wave “), usually occurring after the QRS complex.[lifeinthefastlane.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]

  • 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] 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] 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]

  • Supraventricular Tachycardia

    Inverted P waves are sometimes seen after the QRS complex. These are called retrograde p waves.[acls-algorithms.com] 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] Retrograde (inverted) P waves may also be seen. 5.[clinicaladvisor.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] 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] However, the P wave is different from the sinus P waves.[aibolita.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]

  • 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] […] portion of the P wave in V1.[lifeinthefastlane.com] […] an interventricular conduction delay mimicking LBBB — however, this is not LBBB as the morphology is not typical and there are small Q waves in V5-6 ( the presence of Q waves[lifeinthefastlane.com]

  • Atrial Arrhythmia

    BACKGROUND: Limited data are available about direct current cardioversion (DCCV) in Fontan patients. METHODS: Retrospective review of adult Fontan patients that underwent DCCV for atrial arrhythmias at Mayo Clinic, 1994-2014. Study endpoints were to determine procedural success, safety, and the freedom from[…][ncbi.nlm.nih.gov]

  • Anomalies of Coronary Artery Origin

    Pediatr Cardiol. 2013 Apr;34(4):907-11. doi: 10.1007/s00246-012-0569-0. Epub 2012 Nov 11. Author information 1 Department of Pediatric Cardiology and Adults with Congenital Heart Disease, Meyer Children's Hospital, Rambam Health Care Campus, Box 9602, 31096, Haifa, Israel. Abstract Coronary artery anomalies may increase[…][ncbi.nlm.nih.gov]

  • Patent Foramen Ovale

    Circ J. 2017 Sep 25;81(10):1484-1489. doi: 10.1253/circj.CJ-16-0995. Epub 2017 Apr 27. Author information 1 Cardio Centrum Berlin Academic Teaching Institution, Charité University Medicine Berlin. 2 Ernst von Bergmann Klinikum Potsdam, Academic Teaching Hospital, Charité University Medicine Berlin. 3 Unfallkrankenhaus Berlin,[…][ncbi.nlm.nih.gov]

  • Acute Atrial Infarction

    Abstract A patient with acute right ventricular infarction who showed hyposecretion of atrial natriuretic peptide (ANP) in spite of abnormally high right atrial pressure and who died of a severe low cardiac output syndrome is reported. Right atrial infarction, which was proven at autopsy, may be responsible for[…][ncbi.nlm.nih.gov]

Further symptoms