McGill Case 316

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.

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A 59 year old lady with chronic bronchitis. Right atrial hypertrophy A P wave in lead II taller then 2.5 mm (2.5 small squares). The P wave is usually pointed. with permision from the site of Dr. Dean Jenkins