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Critical evaluation of the twin peaked P wave ("pseudo-P mitrale") in orthogonal electrocardiograms.

Abstract：

:The present study was performed to evaluate the specificity of twin peaked P wave (TWPP) for left atrial overload (LOA) in orthogonal ECGs. A total of 2093 ECGs recorded with Frank's corrected orthogonal leads were used for analysis. It can be concluded from the present study that (1) TWPP is diagnostically non-specific and its mere existence cannot imply the existence of LAO, and (2) a time interval between the beginning of the P wave and the second peak in lead Y of more than 76 msec, is the most useful parameter available for identifying LAO, especially mitral value disease.

journal_name

J Electrocardiol

journal_title

Journal of electrocardiology

authors

Ishikawa K,Pipberger HV

doi

10.1016/s0022-0736(80)80051-3

subject

Has Abstract

pub_date

1980-04-01 00:00:00

pages

181-4

issue

2

eissn

0022-0736

issn

1532-8430

journal_volume

13

pub_type

杂志文章

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