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26 Possible Causes for Inverted P Wave, Short PR Interval

  • Atrioventricular Junctional Rhythm

    Retrograde inverted P waves with short PR intervals and a heart rate of 94/minute denotes to accelerated junctional rhythm. Click here for a more detailed ECG ECG 3.[metealpaslan.com] The presence of inverted P waves indicates that the primary pacemaker has shifted to the AV node (in this case probably high in the AV node).[equimedcorp.com] Therefore the PR interval will be short.[teachingmedicine.com]

  • Atrial Tachyarrhythmia with Short PR Interval

    Diagnostic criteria include PR interval of no more than 120 ms, normal QRS complex duration, a normal or inverted P wave, and paroxysmal supraventricular tachycardia (PSVT[patient.co.uk] Five additional family members had short PR intervals with normal QRS, and eight other family members had borderline short PR intervals.[ncbi.nlm.nih.gov] She was euthyroid; ECG revealed regular rhythm with inverted P waves, short PR interval, absent delta waves with normal QRS morphology ( Figure 1 ).[ncbi.nlm.nih.gov]

  • Lown-Ganong-Levine Syndrome

    The criteria include a normal or inverted P wave, a short PR interval less than or equal to 0.12 second (120 ms), with normal QRS complex duration, the absence of a delta[symptoma.com] The PR interval is short. Click here for a more detailed ECG ECG 3. Short PR interval in a 7 years-old boy.[metealpaslan.com] Diagnostic criteria include PR interval of no more than 120 ms, normal QRS complex duration, a normal or inverted P wave, and paroxysmal supraventricular tachycardia (PSVT[patient.co.uk]

  • Preexcitation 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] The classic electrocardiogram in Wolff-Parkinson-White (WPW) syndrome is characterized by a short PR interval and prolonged QRS duration in the presence of sinus rhythm with[ncbi.nlm.nih.gov] PR interval (usually 0.1 second or less; occasionally normal) together with a prolonged QRS complex with a slurred initial component (delta wave).[medical-dictionary.thefreedictionary.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] Wolff-Parkinson-White (WPW) syndrome is defined as the presence of an accessory atrioventricular pathway which is manifested as delta waves and short PR interval on electrocardiography[ncbi.nlm.nih.gov] Electrocardiography (ECG) of patients with WPW syndrome portrays a short PR interval and a wide QRS interval with a delta wave.[ncbi.nlm.nih.gov]

  • 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] PR interval ( First-degree (PR 0.21 s, not shortening with hyperventilation), second-degree, or third-degree atrioventricular block To assess whether the changing pattern[doi.org] Crossref Medline Google Scholar 57 Webb JG, Sasson Z, Rakowski H, Liu P, Wigle ED. Apical hypertrophic cardiomyopathy: clinical follow-up and diagnostic correlates.[doi.org]

  • Atrial Bigeminy

    P wave with a PRI 120ms.[app.figure1.com] Bundle branch block with short PR interval in healthy young people prone to paroxysmal tachycardia.[books.google.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[litfl.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] These findings include evidence of previous myocardial infarction, left or right ventricular hypertrophy, atrial enlargement, atrial ventricular block, short PR interval and[aafp.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 classic WPW ECG pattern consists of : A short PR interval (rapid AV conduction through the accessory pathway) Delta wave (initial slow ventricular activation due to fiber[pedclerk.bsd.uchicago.edu] interval; may be normal/short in patients with Wolff-Parkinson-White syndrome Right bundle branch block and/or low voltage QRS complex Imaging studies The following imaging[emedicine.medscape.com]

  • 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]

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