Skip to main content
  • Home
  • Articles
    • Archive from 2022 July
    • Archive 1960 to 2022 June
    • Accepted Articles
    • Published Ahead-of-Print
    • Supplement
  • About
  • For Authors
  • Podcasts

ECG P wave abnormalities

< Back to Listing

Share this Article

Singapore Med J 2013; 54:4-8; http://dx.doi.org/10.11622/smedj.2013002
ECG P wave abnormalities

  • Abstract
  • PDF
  • References

Tan LL,Teo SG, Poh KK
Correspondence: A/Prof Poh Kian Keong,  kian_keong_poh@nuhs.edu.sg

ABSTRACT
P wave abnormalities are commonly found on ECG. However, they are seldom discussed and may also be neglected during ECG interpretion. In this article, we discuss two common types of P wave abnormalities, ‘P mitrale’ and ‘P pulmonale’. The former was found in a patient with mitral valve stenosis, while the latter was from a patient with pulmonary hypertension. Echocardiography is important in evaluating the causes of P wave abnormalities.

Keywords: abnormal P wave, mitral stenosis, P mitrale, P pulmonale, pulmonary hypertension
Singapore Med J 2013; 54:4-8; http://dx.doi.org/10.11622/smedj.2013002
http://smj.org.sg/sites/default/files/5401/5401es1.pdf

REFERENCES

1. Prutin JM. ECG tutorial: Basic principles of ECG analysis. In: UpToDate 2011 ver 19.3 [online]. Available at: www.uptodate.com. Accessed July 30, 2012.
 
2. Yeo WT, Teo SG, Loh PY, Poh KK. Misleading ECG recordings. Singapore Med J 2011; 52:772-5.
 
3. Mirvis DM, Goldberger AL. Electrocardiography. In: Bono RO, Mann DL, Zipes DP, Libby P, eds, Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia: Elsevier Saunders, 2012: 126-67. 
http://dx.doi.org/10.1016/B978-1-4377-0398-6.00013-5
 
4. Surawicz B, Knilans TK. Atrial Abnormalities. Chou's Electrocardiography in Clinical Practice, 6th ed. Philadelphia: Elsevier Saunders, 2008: 29-44.
 
5. Hancock EW, Deal BJ, Mirvis DM, et al. AHA /ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram: Part V: Electrocardiogram Changes Associated With Cardiac Chamber Hypertrophy. A Scientific Statement From the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society Endorsed by the International Society for Computerized Electrocardiology. J Am Coll Cardiol 2009; 53:992-1002. Podrid PJ. ECG tutorial: Chamber enlargement and hypertrophy. In: UpToDate 2011 ver. 19.3 [online]. Available at: www.uptodate.com. Accessed August 1, 2012.
 
6. Podrid PJ. ECG tutorial: Chamber enlargement and hypertrophy. In: UpToDate 2011 ver. 19.3 [online]. Available at: www.uptodate.com. Accessed August 1, 2012.
 
7. Otto CM, Bonow RO. Valvular heart disease. In: Bono RO, Mann DL, Zipes DP, Libby P, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 9th ed. Philadelphia: Elsevier Saunders, 2012: 1468-539.
http://dx.doi.org/10.1016/B978-1-4377-0398-6.00066-4
 
8. Simonneau G, Robbins IM, Beghetti M, et al. Updated clinical classification of pulmonary hypertension. J Am Coll Cardiol 2009; 54(1 Suppl):S43-54. 
http://dx.doi.org/10.1016/j.jacc.2009.04.012
 
9. Rubin LJ, Hopkins W. Clinical features and diagnosis of pulmonary hypertension in adults. In: UpToDate 2011 ver. 19.3 [online]. Available at: www.uptodate.com. Accessed August 3, 2012.
 
10. Ahearn GS, Tapson VF, Rebeiz A, Greenfielf JC Jr. Electrocardiography to define clinical status in primary pulmonary hypertension and pulmonary arterial hypertension secondary to collagen vascular disease. Chest 2002; 122:524-7. 
http://dx.doi.org/10.1378/chest.122.2.524
×

Around the Site

Home

About SMJ

For Reviewers

Sign Up for Alerts

Issues

Current Issue

All Issues

Online First

Supplement

CME

For Authors

Instructions for Authors

Submit Manuscript


Follow us on:
        

More Links

Contact Us

Copyright

Advertise

SMJ Forms

Privacy Policy

SMA Home

Copyright 2021. Singapore Medical Association. All Rights Reserved.