P Wave Morphology: Difference between revisions
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Elevation or depression of the [[PTa segment]] (the part between the p wave and the beginning of the QRS complex) can result from [[Ischemia#Atrial infarction|Atrial infarction]] or [[Clinical Disorders#Pericarditis|pericarditis]]. | Elevation or depression of the [[PTa segment]] (the part between the p wave and the beginning of the QRS complex) can result from [[Ischemia#Atrial infarction|Atrial infarction]] or [[Clinical Disorders#Pericarditis|pericarditis]]. | ||
If the p-wave is enlarged, the atria are enlarged. | If the p-wave is enlarged, the [[Chamber_Hypertrophy_and_Enlargment#Left_atrial_enlargement|atria are enlarged]]. | ||
{{clr}} | {{clr}} | ||
Revision as of 14:36, 28 September 2007
«Step 4:Heart axis | Step 6: QRS morphology» |
Author(s) | J.S.S.G. de Jong, MD | |
Moderator | J.S.S.G. de Jong, MD | |
Supervisor | ||
some notes about authorship |
The p wave morphology can reveal right or left atrial stretch.
The P-wave morphology is best determined in leads II and V1 during sinus rhythm.
The normal P wave
Characteristics of a normal p wave:[1]
- The maximal height of the P wave is 2.5 mm in leads II and / or III
- The p wave is positive in II and AVF, and bifasic in V1
- The p wave duration is usually shorter than 0.12 seconds
Elevation or depression of the PTa segment (the part between the p wave and the beginning of the QRS complex) can result from Atrial infarction or pericarditis.
If the p-wave is enlarged, the atria are enlarged.