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22 Possible Causes for Inverted P Wave, Lip Cyanosis

  • 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]

  • 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] […] and fingers (cyanosis) The goal of treatment is to control symptoms.[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 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] Less oxygen in the blood can cause a bluish tint (cyanosis) to the lips and fingernails, while a buildup of carbon dioxide, due to the inability to exhale properly, can cause[sharecare.com] (bluish discoloration of the lips, face, or nail beds), which signifies low arterial oxygen saturation ( 85%); the absence of cyanosis does not exclude the presence of hypoxemia[msdmanuals.com]

  • 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]

  • Transposition of the Great Vessels

    P waves in lead 2, widened QRS complexes, and upright T waves in the precordial leads, beginning either in RV4 or V1.[pediatrics.aappublications.org] As a result, the baby develops a blue color, called cyanosis, shortly after birth. The blue color can best be noticed in the lips or under the fingernails.[mottchildren.org] The electrocardiogram usually shows A-V block, most often first degree, or A-V dissociation, inverted QRS patterns in the precordial leads (qR in V1 and RS in V6), peaked[pediatrics.aappublications.org]

  • Common Ventricle

    […] outlet chamber ECG 22.  DILV-noninverted outlet chamber PR normal P wave-  LAE in increased PBF  RAE in decreased PBF QRS axis away from inverted outlet chamber LAD- Counterclockwise[slideshare.net] […] pulmonary valve of the heart is not formed properly) Pulmonary valve stenosis (narrowing of the pulmonary valve) Symptoms of DILV may include: Bluish color to the skin and lips[medlineplus.gov] […] valve of the heart is not formed properly) Pulmonary valve stenosis (narrowing of the pulmonary valve) Symptoms Symptoms of DILV may include: Bluish color to the skin and lips[mountsinai.org]

  • 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] The most common sign of Ebstein’s anomaly in newborns and infants is a blue coloration of the skin, lips or nails ( cyanosis ).[childrenshospital.org] As oxygen-rich blood is unable to flow around the body as usual, a child may develop a blue tinge to their skin, lips and nails (cyanosis).[gosh.nhs.uk]

  • Cor Biloculare

    In her ECG, P waves in leads I, II, III, avF were inverted, and QRS complexes were shown as qR, rs and rS in leads avF, avL and avR, respectively [Fig.1].[casereports.in] Signs and symptoms of severe defects in newborns include Rapid breathing Cyanosis - a bluish tint to the skin, lips, and fingernails Fatigue Poor blood circulation Many congenital[icdlist.com]

  • Dextrocardia

    , aka ‘global negativity’ (inverted P wave, negative QRS, inverted T wave) Absent R-wave progression in the chest leads (dominant S waves throughout) These changes can be[litfl.com] Although dextrocardia does not necessarily lead to the appearance of symptoms and dysfunction, some individuals may start to experience shortness of breath, cyanosis (lips[symptoma.com] […] by, last update April 30, 2019 ECG Features of Dextrocardia Right axis deviation Positive QRS complexes (with upright P and T waves) in aVR Lead I: inversion of all complexes[lifeinthefastlane.com]

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