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68 Possible Causes for Inverted P Wave, T Wave Inversion

  • 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] […] with no history of CAD, and frequent T-wave inversion.[aafp.org] New electrocardiographic abnormalities either ST-segment elevation and/or T-wave inversion or modest elevation in cardiac troponin level.[radiologyassistant.nl]

  • 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] These findings include axis deviation, T-wave inversion, and right bundle branch block.[ncbi.nlm.nih.gov]

  • Anomalies of Coronary Artery Origin

    Resting electrocardiogram demonstrated incomplete right bundle branch block and T wave inversion in inferior leads.[ispub.com] His electrocardiogram revealed normal sinus rhythm at a rate of 80 beats/min, left axis deviation, left atrial abnormality, and T-wave inversion in lead V 6 .[read.nxtbook.com] The resting electrocardiogram demonstrated incomplete right bundle branch block and T wave inversion in the inferior leads.[ispub.com]

  • Ostium Primum 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] In the ECG above, you can see an example of the rSR' pattern in V1 with a R' greater than S with T wave inversion which is commonly seen in volume overload Right Ventricular[en.wikipedia.org] Electrocardiogram showed sinus rhythm with a rightward axis deviation, dominant R in V1, and T wave inversion in V1–V3, III, and aVF, which are all suggestive of right ventricular[dovepress.com]

  • Torsades De Pointes

    Example 4 Torsades de Pointes: Sinus rhythm, or possibly ectopic atrial rhythm (biphasic / inverted P waves in lead II).[lifeinthefastlane.com] The extent of the QT prolongation and the precordial symmetric T wave inversions suggest perhaps a cardiomyopathy may be present.[ems12lead.com]

  • Conduction Disorder of the Heart

    wave seen PAC: abnormally shaped P wave PJC: Narrow QRS complex, no p wave or inverted p wave Sick sinus syndrome Brady-tachy: Arrhythmia in which bradycardia alternates with[smartypance.com] T-wave inversion may be seen in leads V1 and V2. A deep, slurred S wave is seen in leads I and V6.[patient.info] If ectopic pacemaker is localized in atrium on ECG inverted P wave is observed before QRS.[intranet.tdmu.edu.ua]

  • Situs Inversus

    Though the P waves were inverted in leads I and aVL of the right sided ECG, R wave progression in the precordial leads was normal (Figure 2).[article.sapub.org] Electrocardiograph (ECG) showed T wave inversion in lead I, aVL, V 2 to V 6 with deep Q waves in lead I and aVL which was consistent with dextrocardia [Figure 2] .[ijaweb.org] Electrocardiogram of our patient with dextrocardia showing sinus rhythm with right axis deviation, inverted P waves in leads I, aVL and aVR as well as predominantly downward[article.sapub.org]

  • 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] Example 2 Another example of the Type A WPW pattern with dominant R wave in V1 and right precordial T-wave inversions simulating RVH.[lifeinthefastlane.com] Alterations of the ST segment and inverted T waves also appear. Summarizing: Sinus P wave, except alterations. Shortened PR interval (less than 0,12 s). Delta wave.[en.my-ekg.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] ECG Examples Example 1 Anterior Left Ventricular Aneurysm: Minimal ST elevation in V1-3 associated with deep Q waves and T-wave inversion.[lifeinthefastlane.com] 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]

  • Bradycardia

    This usually appears on an EKG with a normal QRS complex accompanied with an inverted P wave either before, during, or after the QRS complex. [3] An AV junctional escape is[en.wikipedia.org] T-wave inversion was the most frequent ECG abnormality (n 31 patients), followed by ST segment changes (nine patients with elevation and six with depression).[ncbi.nlm.nih.gov]

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