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PR segment depression

MedGen UID:
1647462
•Concept ID:
C4553254
•
Finding
Synonyms: PR interval depression; PTa depression
 
HPO: HP:0031594

Definition

A reduction in voltage of the PR segment below baseline. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPR segment depression

Professional guidelines

PubMed

Differential diagnosis at admission between Takotsubo cardiomyopathy and acute apical-anterior myocardial infarction in postmenopausal women.
Zorzi A, Baritussio A, ElMaghawry M, Siciliano M, Migliore F, Perazzolo Marra M, Iliceto S, Corrado D
Eur Heart J Acute Cardiovasc Care 2016 Aug;5(4):298-307. Epub 2015 May 11 doi: 10.1177/2048872615585515. PMID: 25964511
New electrocardiographic criteria to differentiate acute pericarditis and myocardial infarction.
Rossello X, Wiegerinck RF, Alguersuari J, Bardají A, Worner F, Sutil M, Ferrero A, Cinca J
Am J Med 2014 Mar;127(3):233-9. Epub 2013 Nov 25 doi: 10.1016/j.amjmed.2013.11.006. PMID: 24287008

Recent clinical studies

Etiology

Frequency of Electrocardiographic Alterations and Pericardial Effusion in Patients With Uncomplicated Malaria.
Kaagaard MD, Matos LO, Holm AE, Gomes LC, Wegener A, Lima KO, Vieira IVM, de Souza RM, Marinho CRF, Hviid L, Vestergaard LS, Dominguez H, Biering-Sørensen T, Silvestre OM, Brainin P
Am J Cardiol 2022 Feb 15;165:116-123. Epub 2021 Dec 12 doi: 10.1016/j.amjcard.2021.11.009. PMID: 34906368
The prediction of right atrial pressure using electrocardiogram: a novel approach.
Mirtajaddini M, Naderi N, Chenaghlou M, Taghavi S, Amin A
ESC Heart Fail 2021 Dec;8(6):5040-5044. Epub 2021 Sep 3 doi: 10.1002/ehf2.13570. PMID: 34477328Free PMC Article
Diagnostic value of electrocardiogram in cardiac tamponade.
Ang KP, Nordin RB, Lee SCY, Lee CY, Lu HT
Med J Malaysia 2019 Feb;74(1):51-56. PMID: 30846663
Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
Prognostic implications of PR-segment depression in inferior leads in acute inferior myocardial infarction.
Jim MH, Siu CW, Chan AO, Chan RH, Lee SW, Lau CP
Clin Cardiol 2006 Aug;29(8):363-8. doi: 10.1002/clc.4960290809. PMID: 16933578Free PMC Article

Diagnosis

Frequency of Electrocardiographic Alterations and Pericardial Effusion in Patients With Uncomplicated Malaria.
Kaagaard MD, Matos LO, Holm AE, Gomes LC, Wegener A, Lima KO, Vieira IVM, de Souza RM, Marinho CRF, Hviid L, Vestergaard LS, Dominguez H, Biering-Sørensen T, Silvestre OM, Brainin P
Am J Cardiol 2022 Feb 15;165:116-123. Epub 2021 Dec 12 doi: 10.1016/j.amjcard.2021.11.009. PMID: 34906368
Diagnostic and prognostic role of electrocardiogram in acute myocarditis: A comprehensive review.
Buttà C, Zappia L, Laterra G, Roberto M
Ann Noninvasive Electrocardiol 2020 May;25(3) Epub 2019 Nov 28 doi: 10.1111/anec.12726. PMID: 31778001Free PMC Article
PR depression with multi‑lead ST elevation and ST depression in aVR: Is it always acute pericarditis?
Birnbaum Y, Perez Riera AR, Nikus K
J Electrocardiol 2019 May-Jun;54:13-17. Epub 2019 Jan 24 doi: 10.1016/j.jelectrocard.2019.01.085. PMID: 30802680
Acute pericarditis.
Tingle LE, Molina D, Calvert CW
Am Fam Physician 2007 Nov 15;76(10):1509-14. PMID: 18052017
Electrocardiographic manifestations: acute myopericarditis.
Chan TC, Brady WJ, Pollack M
J Emerg Med 1999 Sep-Oct;17(5):865-72. doi: 10.1016/s0736-4679(99)00097-9. PMID: 10499704

Therapy

Postcardiac injury syndrome caused by radiofrequency catheter ablation of persistent atrial fibrillation: severe pulmonary arterial hypertension with severe tricuspid regurgitation: a rare case report and literature review.
Shi J, Shao M, Zhou X, Lu Y, Tang B
BMC Cardiovasc Disord 2023 Apr 13;23(1):192. doi: 10.1186/s12872-023-03202-1. PMID: 37055734Free PMC Article
Frequency of Electrocardiographic Alterations and Pericardial Effusion in Patients With Uncomplicated Malaria.
Kaagaard MD, Matos LO, Holm AE, Gomes LC, Wegener A, Lima KO, Vieira IVM, de Souza RM, Marinho CRF, Hviid L, Vestergaard LS, Dominguez H, Biering-Sørensen T, Silvestre OM, Brainin P
Am J Cardiol 2022 Feb 15;165:116-123. Epub 2021 Dec 12 doi: 10.1016/j.amjcard.2021.11.009. PMID: 34906368
Dressler's syndrome: are we underdiagnosing what we think to be rare?
Campos ID, Salgado A, Azevedo P, Vieira C
BMJ Case Rep 2019 May 21;12(5) doi: 10.1136/bcr-2018-227772. PMID: 31118169Free PMC Article
Predictors of switching from nonsteroidal anti-inflammatory drugs to corticosteroids in patients with acute pericarditis and impact on clinical outcome.
Lazaros G, Antonopoulos AS, Vlachopoulos C, Oikonomou E, Karavidas A, Chrysochoou C, Lazarou E, Vassilopoulos D, Imazio M, Tousoulis D
Hellenic J Cardiol 2019 Nov-Dec;60(6):357-363. Epub 2018 Apr 20 doi: 10.1016/j.hjc.2018.04.001. PMID: 29684577
Acute pericarditis.
Tingle LE, Molina D, Calvert CW
Am Fam Physician 2007 Nov 15;76(10):1509-14. PMID: 18052017

Prognosis

The prediction of right atrial pressure using electrocardiogram: a novel approach.
Mirtajaddini M, Naderi N, Chenaghlou M, Taghavi S, Amin A
ESC Heart Fail 2021 Dec;8(6):5040-5044. Epub 2021 Sep 3 doi: 10.1002/ehf2.13570. PMID: 34477328Free PMC Article
Diagnostic and prognostic role of electrocardiogram in acute myocarditis: A comprehensive review.
Buttà C, Zappia L, Laterra G, Roberto M
Ann Noninvasive Electrocardiol 2020 May;25(3) Epub 2019 Nov 28 doi: 10.1111/anec.12726. PMID: 31778001Free PMC Article
Diagnostic value of electrocardiogram in cardiac tamponade.
Ang KP, Nordin RB, Lee SCY, Lee CY, Lu HT
Med J Malaysia 2019 Feb;74(1):51-56. PMID: 30846663
Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
Acute pericarditis.
Tingle LE, Molina D, Calvert CW
Am Fam Physician 2007 Nov 15;76(10):1509-14. PMID: 18052017

Clinical prediction guides

Frequency of Electrocardiographic Alterations and Pericardial Effusion in Patients With Uncomplicated Malaria.
Kaagaard MD, Matos LO, Holm AE, Gomes LC, Wegener A, Lima KO, Vieira IVM, de Souza RM, Marinho CRF, Hviid L, Vestergaard LS, Dominguez H, Biering-Sørensen T, Silvestre OM, Brainin P
Am J Cardiol 2022 Feb 15;165:116-123. Epub 2021 Dec 12 doi: 10.1016/j.amjcard.2021.11.009. PMID: 34906368
The prediction of right atrial pressure using electrocardiogram: a novel approach.
Mirtajaddini M, Naderi N, Chenaghlou M, Taghavi S, Amin A
ESC Heart Fail 2021 Dec;8(6):5040-5044. Epub 2021 Sep 3 doi: 10.1002/ehf2.13570. PMID: 34477328Free PMC Article
Diagnostic value of electrocardiogram in cardiac tamponade.
Ang KP, Nordin RB, Lee SCY, Lee CY, Lu HT
Med J Malaysia 2019 Feb;74(1):51-56. PMID: 30846663
Electrocardiographic abnormalities in patients with pericardial disease--Association of PR segment depression with arrhythmias and clinical signs: Experience of cardiac surgery center.
Kudaiberdiev T, Dzhumagulova A, Joshibayev S, Tilemanbetova K, Imanalieva G
J Electrocardiol 2016 Jan-Feb;49(1):29-36. Epub 2015 Nov 11 doi: 10.1016/j.jelectrocard.2015.10.007. PMID: 26614578
Acute pericarditis.
Tingle LE, Molina D, Calvert CW
Am Fam Physician 2007 Nov 15;76(10):1509-14. PMID: 18052017

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