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112 Possible Causes for Prominent A-Wave, Right Atrial Hypertrophy

  • Cor Pulmonale

    On electrocardiogram, there was right axis deviation, p-pulmonale, features of right ventricular hypertrophy along with presence of prominent Q waves in leads II, III and[ijem.in] With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3.[lifeinthefastlane.com] A wave Abnormalities of the chest or lungs, depending on underlying condition causing CP Soft or inaudible heart sounds Right ventricular impulse palpated along left sternal[tele.med.ru]

  • Atrial Septal Defect

    In sinus venosus ASD, it shows left axis deviation and a negative P wave in lead III.[symptoma.com] ECG Right axis deviation in 85% of cases Left axis deviation and prolonged PR interval seen in ostium primum Right Atrial enlargement 16.[slideshare.net] […] elevated pulmonary vascular resistance, and right ventricular hypertrophy; supraventricular tachycardia, atrial flutter, or atrial fibrillation may also occur.[merckmanuals.com]

  • Eisenmenger Syndrome

    ECG of Eisenmenger syndrome Usually there is right ventricular hypertrophy with prominent P waves.[remedyland.com] […] shunt (e.g., atrial septal defect, ventricular septal defect, patent ductus arteriosus) Electrocardiogram Right atrial enlargement Right ventricular hypertrophy Chest X-ray[echocardiology.org] Diagnostic methods Diagnosis is based on the clinical features, pulse oximetry findings, an abnormal electrocardiogram (right axis deviation, right ventricular hypertrophy[orpha.net]

  • Chronic Right-Sided Congestive Heart Failure

    […] gallop’ (occurs before S1 and is due to blood entering the ventricle during atrial systole hitting the stiff hypertrophied ventricular wall 1,2 pulsus alternans 1,2 right-predominant[radiopaedia.org] 1,2 other organ dysfunction 1,2 added heart sounds 1,2 S3 ‘ventricular gallop’ (occurs after S2 and is due to blood slushing around in a large dilated ventricle) 1,2 S4 ‘atrial[radiopaedia.org]

  • Ostium Primum Atrial Septal Defect

    If MR is present, the findings of ASD may be modified Prominent v wave in JVP LV type apex IE may occur (unlike secundum ASD) ECG Incomplete RBBB pattern in v1 as in secundum[heartpearls.com] However, persistent, large shunts result in right atrial and ventricular volume overload, pulmonary artery hypertension, elevated pulmonary vascular resistance, and right[babiesonline.co.za] The notched R waves in inferior leads are not so prominent. ECG 11.[metealpaslan.com]

  • Pulmonary Hypertension

    […] for conditions that can produce pulmonary hypertension (murmurs, collagen disease, valve pathology, VTE, OSA, alcohol consumption, chronic respiratory disease) Examination prominent[lifeinthefastlane.com] […] ventricular hypertrophy, and failure.[ncbi.nlm.nih.gov] A prominent A wave may be observed in the jugular venous pulse. A right-sided fourth heart sound (S 4 ) with a left parasternal heave may be auscultated.[emedicine.medscape.com]

  • Tricuspid Valve Stenosis

    Patients often display a prominent A Wave as atrial systole against the stenotic tricuspid valve results in an exaggerated increase in right atrial pressure and thus bulging[pathwaymedicine.org] Investigations ECG may show evidence of right atrial hypertrophy with tall peaked P waves; arrhythmias (eg, atrial fibrillation, atrial flutter) occur frequently.[patient.info] In some cases, the right atrial becomes distended and hypertrophied causing heart failure due to right heart failure without dysfunction of the right ventricle.[rosenfeldinjurylawyers.com]

  • Pulmonary Valve Stenosis

    ECG of pulmonary valve stenosis Electrical axis deviation to right or right ventricular hypertrophy, prominent P wave.[remedyland.com] ECG: may show right ventricular hypertrophy, right atrial hypertrophy and right axis deviation.[patient.info] With increasing right ventricular hypertrophy, right ventricular compliance decreases with a resultant increase in end-diastolic pressure and with prominent a waves in the[emedicine.medscape.com]

  • Large Ventricular Septal Defect

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] ECG shows right ventricular hypertrophy or combined ventricular hypertrophy and, occasionally, left atrial enlargement.[merckmanuals.com] With a moderate VSD, left ventricular hypertrophy (LVH) and occasionally left atrial hypertrophy (LAH) may be seen.[patient.info]

  • Ventricular Septal Defect

    In those with pulmonary hypertension, right axis deviation, right ventricular hypertrophy (RVH) and right atrial hypertrophy (RAH) may be seen.[patient.info] In cases of elevated pulmonary artery pressure, right axis deviation, right ventricular hypertrophy, and right atrial enlargement may be evident on ECG.[circ.ahajournals.org] ECG shows right ventricular hypertrophy or combined ventricular hypertrophy and, occasionally, left atrial enlargement.[msdmanuals.com]

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