EKG in right atrial enlargement: Difference between revisions

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{{Infobox_Disease |
#redirect:[[Right atrial enlargement]]
  Name          = {{PAGENAME}} |
  Image          =  RAE.png|
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  Width          = 200px |
  DiseasesDB    =  |
  ICD10          =  |
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  OMIM          =  |
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  MeshName      = Right+Atrial+Enlargement |
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{{SI}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}}
 
{{SK}} Himalayan P waves,  Himalayan P-wave,  giant P waves,  right atrial abnormality
==Overview==
[[Right atrial enlargement]] can result from increased pressure in the [[pulmonary artery]].  A [[P wave]] >2.5 mm in leads II, III and aVF
or a [[P wave]] >1.5 mm in lead V1 indicates right atrial enlargement. Despite the increase in the height of the [[P wave]], the width of the [[P wave]] does not change.  Sometimes these large [[P waves]] can be referred to as Himalayan P waves.
 
== Differential Diagnosis of Underlying Causes of Right Atrial Enlargement==
* [[Atrial aneurysm]]
* [[Atrial septal defect]]
* [[Cor pulmonale]] or [[right heart failure]]
* [[Ebstein's anomaly]]
* [[Primary Cardiac Tumors|Tumor]]
* [[Pulmonic stenosis]]
* [[Tricuspid prolapse]]
* [[Tricuspid regurgitation]]
* [[Tricuspid stenosis]]
 
==The EKG in Right Atrial Enlargement==
Right atrial enlargement is defined as either:
 
* A [[P wave]] >2.5 mm in leads II, III and aVF
* A [[P wave]] >1.5 mm in lead V1
 
Shown below is an illustration of right atrial enlargement:
 
[[Image:right_atrial_enlargement.jpg|center|500px]]
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Shown below is an EKG demonstrating large P waves in leads to 2,3, and aVF which have a [[P-wave]] height greater than 2.5 mm consistent with right each one enlargement:
[[Image:RAE.png|Right atrial enlargement|center|500px]]
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[[Category:Electrophysiology]]
[[Category:Cardiology]]
 
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Latest revision as of 19:44, 20 October 2012