Himalayan P waves in COPD - A Rare Feature

Himalayan P waves in COPD - A Rare Feature

Himalayan or giant P-waves (amplitude =5 mm) are often known to be classically associated with congenital heart diseases with right to left shunt like tricuspid atresia, Ebstein anomaly, combined tricuspid and pulmonic stenosis, etc, where they indicate a dilated right atrium and tend to be persiste...

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Bibliographic Details
Main Authors: Satish Kumar, Sharath Babu NM, Sanjay K Mahajan, Madan Kaushik, Balbir S Verma, SS Kaushal
Format: Article
Language:English
Published: Light House Polyclinic Mangalore 2014-02-01
Series:Online Journal of Health & Allied Sciences
Subjects:
Himalayan P waves
Giant
Chronic obstructive pulmonary disease
Online Access:http://www.ojhas.org/issue48/2013-4-13.html
Description
Summary:Himalayan or giant P-waves (amplitude =5 mm) are often known to be classically associated with congenital heart diseases with right to left shunt like tricuspid atresia, Ebstein anomaly, combined tricuspid and pulmonic stenosis, etc, where they indicate a dilated right atrium and tend to be persistent. These type P waves are rarely seen in chronic obstructive pulmonary disease (COPD) and in this condition it may be due to structural right atrial changes or hypoxemia or combination of both. Here we report a case of COPD with Himalayan P waves which is a rare entity.
ISSN:0972-5997

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