P Mitrale: Causes & Reasons

Possible Causes for P Mitrale

Mitral reintervention did not differ between mitral repair and replacement (cumulative risk of reoperation, 27% vs 15%; P = .64). [ncbi.nlm.nih.gov]

[…] results of preoperative and postoperative echocardiographic data showed significant decrease in pulmonary arterial systolic pressure (101.2 ± 20.3 versus 48.1 ± 14.3 mmHg, P [ncbi.nlm.nih.gov]

CONCLUSIONS: Mitral valve disease in children leads to abnormal airway and respiratory tissue mechanics. [ncbi.nlm.nih.gov]

Mitral Valve Stenosis

[…] of mitral valvular disease. [web.archive.org]

Mild mitral regurgitation was also more frequent in patients with AF (71%vs 51%, p < 0.03). [ncbi.nlm.nih.gov]

notched P waves in several or many leads with a prominent late negative component to the P wave in lead V1, and may also be seen in mitral regurgitation, and, potentially [en.wikipedia.org]

Mitral Valve Insufficiency

RESULTS: Cardiopulmonary bypass time and ischemia time were shorter in the MVP-group, p CONCLUSION: Mitral valve plasty for MR is efficient and associated with shorter CPB [ncbi.nlm.nih.gov]

 Electrocardiography: P mitrale is broad, notched P waves in several or many leads with a prominent late negative component to the P wave in lead V1, and may be seen in [slideshare.net]

Electrocardiography[edit] P mitrale is broad, notched P waves in several or many leads with a prominent late negative comp[[mb b [[]]]]onent to the P wave in lead V1, and [en.wikipedia.org]

Left Atrial Ball Valve Thrombus

Left atrial Abnormality of P wave with a divot(double bump mitral). [brainscape.com]

ECG Right ventricular hypertrophy: tall R waves in V1–V3 P mitrale or atrial fibrillation Chest X-ray Enlarged LA and appendage Signs of pulmonary venous congestion Echocardiogram [med.rimikri.com]

Conradie C, Schall R, Marx JD (1993) Echocardiographic study of left atrial thrombi in mitral stenosis. Clin Cardiol 16(10):729–731. Google Scholar 9. [link.springer.com]

Papillary Muscle Dysfunction

Rossi A, Dini FL, Faggiano P, et al. Independent prognostic value of functional mitral regurgitation in patients with heart failure. [emedicine.medscape.com]

[…] without mitral regurgitation (1129 ± 38 msec vs 1134 ± 58 msec, p = 0.93). [jcmr-online.biomedcentral.com]

Chronic ischemic mitral regurgitation: repair, replace or rethink? Ann Thorac Surg. 2006;81:1153-1161. Rossi A, Dini FL, Faggiano P, et al. [read.nxtbook.com]

Giant Left Atrium

After mitral valve replacement, left atrium mean diameter was significantly decreased in Group A from 8.1 +/- 1.3 mm to 6.2 +/- 1.6 mm ( p < 0.01). [ncbi.nlm.nih.gov]

The cardiothoracic ratio decreased from 74.8 +/- 8.3% to 62.8 +/- 9.0% (P < 0.01) and the vital capacity of the lungs increased from 71.1 +/- 18.0% to 82.9 +/- 22.2% (P < [ncbi.nlm.nih.gov]

[…] with a giant left atrium than in those without (n = 14, 69.9 +/- 15.3 cm/sec and 30.5 +/- 9.6 mm, respectively); in the latter, the IVC orifice dimension was significantly (p [ncbi.nlm.nih.gov]

Left Atrial Hypertrophy

This is called P mitrale, because mitral valve disease is a common cause (Figure 1). The duration of the P-wave will exceed 120 milliseconds in lead II. [ecgwaves.com]

Systemic hypertension Aortic stenosis Mitral incompetence Hypertrophic cardiomyopathy ECG Examples Example 1 Broad (>110ms), bifid P wave in lead II (P mitrale) with > 40ms [litfl.com]

P mitrale: left atrial enlargement (hypertrophy, dilatation) If the left atrium encounters increased resistance (due to mitral valve stenosis, mitral valve regurgitation, [ecgwaves.com]

Aortic Valve Insufficiency

[…] significant linear relationship between mitral tenting area and severity of mitral regurgitation (P=0.001). [doi.org]

Pinero A, Marcos-Alberca P, Fortes J. Cabergoline-related severe restrictive mitral regurgitation. N Engl J Med 2005 ;353: 1976 - 1977 7. [doi.org]

The relative risk for moderate or severe valve regurgitation in the pergolide group was 6.3 for mitral regurgitation (P=0.008), 4.2 for aortic regurgitation (P=0.01), and [doi.org]

Left Ventricular Hypertrophy

P mitrale – Left atrial enlargement ( P mitrale ) may develop because LVH affects the hemodynamics of the left atrium. Left axis deviation – is common in LVH. [ecgwaves.com]

In addition to the dramatic T waves, he also has P waves suggestive of “P mitrale”, or left atrial enlargement. [ecgguru.com]

[…] wave in lead II prominent terminal negative component to P wave in lead V1 (shown here) See also - mitral stenosis . [ecglibrary.com]

Left Ventricular Dilatation

- signs of pulmonary congestion. 2.ECG: - P mitral. - LV dilatation. 3.Echocardiography: - determine degree of regurge. - LV dimensions. - EF 25 Complications: LV failure [slideplayer.com]

(end-diastolic volume >or=110 ml/m(2)) (p CONCLUSION: Symptoms and signs predict LV dilatation and/or dysfunction with fair sensitivity and excellent specificity. [ncbi.nlm.nih.gov]

Hecker SL, Zabalgoitia M, Ashline P, Oneschuk L, O'Rourke RA, Herrera CJ. Comparison of exercise and dobutamine stress echocardiography in assessing mitral stenosis. [revespcardiol.org]

Endocardial Fibroelastosis

He had P mitrale and ST changes on ECG (Fig. 4A), septal thickness of 22 mm (4B), LVEF 65%, biatrial enlargement (4C) and a grade III diastolic dysfunction (4D). [escardio.org]

Winberg, Pure congenital mitral stenosis due to fibro-elastosis. Cardiologia21, 574 (1952). PubMed Google Scholar Maxwell, G. M. andW. P. [link.springer.com]

Endocardial Fibroelastosis Monica P. Revelo, MD, PhD Gross specimen shows left ventricle with white opaque thickened endocardium and flat trabeculae. [basicmedicalkey.com]

Left Ventricular Outflow Obstruction

The AML and PML heights and the mitral annulus diameter were measured by TEE using mid-esophageal four-chamber and long-axis planes. [ncbi.nlm.nih.gov]

± 7° [ P = 0.0002] and 89 ± 2° [ P 0.0001]). [em-consulte.com]

LV outflow tract was significantly narrower and the angle between the ejection flow and the mitral valve was larger in provocable patients. [ncbi.nlm.nih.gov]

Aortic Valve Disorder

Current prognosis of ischemic mitral regurgitation. Implications for future management. Circulation 1988,78(suppl I): I51-9. Kay GL, Kay JH, Zubiate P, et al. [heart.bmj.com]

Nephrol Dial Transplant 8:335 -340, 1993 ↵ Fernandez-Reyes MJ, Auxiliadora Bajo M, Robles P, Selgas R, Oliver J, Del Peso G, Garcia G, Jimenez C, Garcia-Gallego F: Mitral [jasn.asnjournals.org]

Schon HR, Schroter G, Barthel P, et al. Quinapril therapy in patients with chronic mitral regurgitation. J Heart Valve Disease 1994;3:197–204. [ncbi.nlm.nih.gov]

Congestive Heart Failure

1 Structure of human G protein-coupled receptor kinase 2 in complex with the kinase inhibitor balanol. 54 61 20128603 2010 2 Effects of eythropoietin administration on mitral [malacards.org]

Lancellotti P, Gerard PL, Pierard LA. Long-term outcome of patients with heart failure and dynamic functional mitral regurgitation. [emedicine.com]

[…] regurgitation and left ventricular remodeling in heart failure patients. 61 54 Cosyns B...Lancellotti P 18760492 2010 3 Provider adherence to clinical guidelines related [malacards.org]

Cardiomyopathy

각 군의 최고 심실조기수축의 평균수는 1군에서 시간당 23.3±12.7회, 2군에서 589.78±609.4회로 유의한 차이를 보였다(p value<0.05). 4. [ir.ymlib.yonsei.ac.kr]

Four DCM patients with moderate-severe MR had unbalanced remodeling, such as excessive LV dilatation, short anterior mitral leaflets, and short chordae tendineae.The development [ncbi.nlm.nih.gov]

Cattaneo P, Marchetti P, Morandi F, Salerno-Uriarte JA. Left ventricular apical ballooning in mitral endocarditis. Int J Cardiol 2007;119:261-263. [ Links ] 49. [scielo.org.mx]

Coarctation of the Aorta

Significant predictors identified from multivariate analysis were as follows: Z score for the ascending aorta diameter of -2 or less (P = < .001), Z score for the mitral valve [ncbi.nlm.nih.gov]

Mean mitral valve diameter z score was lower ( P z score was higher in fetuses with CoA than in those without CoA ( P =0.01). [ncbi.nlm.nih.gov]

Fetuses with CoA presented with a narrower, but not shorter, left ventricle when compared with controls (mitral valve diastolic diameter, 5.90 vs 8.50 mm; P = 0.002; left [ncbi.nlm.nih.gov]

Left Cardiac Ventricle Disorder

Aortic Regurgitation. 6. 9 m/s or mean P 20– 39 mm Hg The murmur of mitral regurgitation is a mid-frequency, rectangular murmur taking up all of systole. [v-secure.in]

Analysis of the relationships between clinical and biochemical parameters and left ventricular diastolic dysfunction Odds ratio 95.0% CI p value Age 1.120 1.027-1.221 0.010 [ekjm.org]

A pansystolic murmur of mitral regurgitation at the apex may occur in either HFrEF or HFpEF. [merckmanuals.com]

Hypertensive Heart Disease

Significance was defined as p RESULTS: HHD and HCM cohorts were age-/gender-matched. [ncbi.nlm.nih.gov]

Kruger R, Schutte R, Huisman HW, Hindersson P, Olsen MH, Eugen-Olsen J, Schutte AE. [portal.findresearcher.sdu.dk]

Magnitude and location of maximal EDWT, presence of late gadolinium enhancement (LGE), LV asymmetry (>1.5-fold opposing segment) and systolic anterior motion of the mitral [ncbi.nlm.nih.gov]

Rheumatic Heart Disease

(30.4% vs. 19%, p = 0.001). [ncbi.nlm.nih.gov]

S., Rajagopal P., Somaraju B. Surgical pathology of mitral valves--the Indian scene. [ncbi.nlm.nih.gov]

Subgroup analysis by ethnicity showed no positive relationship in Asians as well (P > 0.05). [ncbi.nlm.nih.gov]

Rheumatic Valvulitis

No patient developed mitral or aortic stenosis: this suggests that regular prophylaxis may prevent the development of stenosis. [circ.ahajournals.org]

P 1 (anterior), P 2 (middle), P 3 (posterior)―are the scallops (clefts or indendations) of PML (posterior mitral leaflet), A 1, A 2, A 3 ―are the corresponding segments of [scirp.org]

J Pathol. 1981; 133: 185-201 Scopus (30) PubMed Crossref Google Scholar Arciprete P Vosa C Bellitti R et al. [internationaljournalofcardiology.com]

Aortic Valve Stenosis

P., Rouf, R., Habashi, J. & Dietz, H. C. Mitral valve disease in Marfan syndrome and related disorders. J. Cardiovasc. Transl. Res. 4, 741–747 (2011). 134. Chang, S. [doi.org]

Flachskampf FA, Chandra S, Gaddipatti A, Levine RA, Weyman AE, Ameling W, Hanrath P, Thomas JD. [ahajournals.org]

Analysis of shape and motion of the mitral annulus in subjects with and without cardiomyopathy by echocardiographic 3-dimensional reconstruction.J Am Soc Echocardiogr. 2000 [ahajournals.org]

Dilated Cardiomyopathy

Four DCM patients with moderate-severe MR had unbalanced remodeling, such as excessive LV dilatation, short anterior mitral leaflets, and short chordae tendineae.The development [ncbi.nlm.nih.gov]

\mathrm{d}t\) ⁠ ), and mitral regurgitation (MR) before and after biventricular pacing as well as when pacing was suspended for 4 weeks. [doi.org]

Major cardiac findings include cardiomegaly, quiet precordium, tachycardia, gallop rhythm (S 3 and/or S 4 ), accentuated P-2, and murmurs of mitral and tricuspid regurgitation [transplantbuddies.org]

Atrial Myxoma

AU - Rama Rao, Anil P AU - Morales, Monty C. AU - Copeland, Jack G. [arizona.pure.elsevier.com]

C.: Mitral valve. In, "Cardiac Ultrasound" (EditorsGramiak and Waay). The C. V. Mosby and Company, Saint Louis 1975, p. 47. 7. Goldberg, H. P., Glenn, F., Dotter, C. [jpgmonline.com]

In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. [mountsinai.org]

Corrected Transposition of the Great Vessels

[…] plasty in one) vs. 94.1% in group II (P < 0.05 vs. group I; aortic valve replacement in one). [ncbi.nlm.nih.gov]

The freedom from reoperation was 77.6% in group I (redo-Rastelli in five patients, subaortic stenosis resection in three, tricuspid valve replacement in one and mitral valve [ncbi.nlm.nih.gov]

Patent Ductus Arteriosus

Patent ductus arteriosus (PDA), one of the more common cardiac defects present at birth, is the persistence of an opening between the pulmonary artery and aorta. This opening is as a result of failure of the physiological fetus ductus arteriosus to close, which normally occurs soon after birth. This hole causes[…] [news-medical.net]

Right Atrial Hypertrophy

This is called P mitrale, because mitral valve disease is a common cause (Figure 1). The duration of the P-wave will exceed 120 milliseconds in lead II. [ecgwaves.com]

In general, left atrial enlargement is used as a synonym for p mitrale, right atrial enlargement for p pulmonale, and biatrial enlargement for p biatriale. [link.springer.com]

Mitrale ECG Hocm EKG Atrial Hypertrophy EKG Right Atrial Enlargement Heart Murmur Possible Right Atrial Enlargement Atrial Enlargement EKG Finding Loading... [thepinsta.com]

Aortopulmonary Septal Defect

Surgical repair of an aortopulmonary septal defect, interrupted aortic arch and the duct that coexists in this setting usually includes closure of the aortopulmonary septal defect, reconstruction of the arch, and interruption of the duct. A 20-month-old girl underwent a successful one-stage repair of such[…] [ncbi.nlm.nih.gov]

Coronary Arteriovenous Fistula

Abstract We experienced a rare case in which a guidewire was advanced into a coronary vein through an arteriovenous fistula caused by wire perforation. The patient, who had chronic total occlusion (CTO) of the left circumflex coronary artery, was treated successfully with a procedure guided by intravascular[…] [ncbi.nlm.nih.gov]

Persistent Truncus Arteriosus

OBJECTIVE: Establishing a new continuity between the right ventricle and the pulmonary artery is the mainstay of repair for persistent truncus arteriosus. We used the Tran Viet-Neveux technique without a Lecomte maneuver to construct the connection without a conduit. Here, we retrospectively review the mid-term[…] [ncbi.nlm.nih.gov]

Trilogy of Fallot

Trilogy of Fallot is comprised of pulmonary stenosis, hypertrophy of the right ventricle and an atrial septal defect, and is a distinct clinical entity from Tetralogy of Fallot, one of the most common congenital heart diseases in clinical practice. Very few reports describe this type of heart disease, and the diagnosis[…] [symptoma.com]