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P mitrale

MedGen UID:
68560
•Concept ID:
C0232310
•
Finding
Synonyms: Left Atrial Enlargement by ECG Finding; P mitrale by EKG; P mitrale by electrocardiogram; P-mitrale; P-mitrale by ECG Finding; P-mitrale by EKG Finding
SNOMED CT: P mitrale (164913009); P mitrale by EKG (164913009); P mitrale by electrocardiogram (164913009)
 
HPO: HP:0031599

Definition

A broad (120 ms or longer in duration) and bifid P-wave in EKG lead II. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVP mitrale

Professional guidelines

PubMed

Accuracy of electrocardiographic criteria for atrial enlargement: validation with cardiovascular magnetic resonance.
Tsao CW, Josephson ME, Hauser TH, O'Halloran TD, Agarwal A, Manning WJ, Yeon SB
J Cardiovasc Magn Reson 2008 Jan 25;10(1):7. doi: 10.1186/1532-429X-10-7. PMID: 18272008Free PMC Article

Recent clinical studies

Etiology

Accuracy of Electrocardiography and Agreement with Echocardiography in the Diagnosis of Pediatric Left Atrial Enlargement.
Ng C, Ahmad A, Budhram DR, He M, Balakrishnan N, Mondal T
Sci Rep 2020 Jun 22;10(1):10027. doi: 10.1038/s41598-020-66987-7. PMID: 32572091Free PMC Article
Clinical role of atrial arrhythmias in patients with arrhythmogenic right ventricular dysplasia.
Saguner AM, Ganahl S, Kraus A, Baldinger SH, Medeiros-Domingo A, Saguner AR, Mueller-Burri SA, Wolber T, Haegeli LM, Krasniqi N, Tanner FC, Steffel J, Brunckhorst C, Duru F
Circ J 2014;78(12):2854-61. Epub 2014 Oct 20 doi: 10.1253/circj.cj-14-0474. PMID: 25327952

Diagnosis

Accuracy of Electrocardiography and Agreement with Echocardiography in the Diagnosis of Pediatric Left Atrial Enlargement.
Ng C, Ahmad A, Budhram DR, He M, Balakrishnan N, Mondal T
Sci Rep 2020 Jun 22;10(1):10027. doi: 10.1038/s41598-020-66987-7. PMID: 32572091Free PMC Article
Electrocardiographic detection of hypertensive left atrial enlargement in the presence of obesity: re-calibration against cardiac magnetic resonance.
Rodrigues JC, Erdei T, Dastidar AG, McIntyre B, Burchell AE, Ratcliffe LE, Hart EC, Hamilton MC, Paton JF, Nightingale AK, Manghat NE
J Hum Hypertens 2017 Mar;31(3):212-219. Epub 2016 Sep 8 doi: 10.1038/jhh.2016.63. PMID: 27604657
Clinical role of atrial arrhythmias in patients with arrhythmogenic right ventricular dysplasia.
Saguner AM, Ganahl S, Kraus A, Baldinger SH, Medeiros-Domingo A, Saguner AR, Mueller-Burri SA, Wolber T, Haegeli LM, Krasniqi N, Tanner FC, Steffel J, Brunckhorst C, Duru F
Circ J 2014;78(12):2854-61. Epub 2014 Oct 20 doi: 10.1253/circj.cj-14-0474. PMID: 25327952
ECG P wave abnormalities.
Tan LL, Teo SG, Poh KK
Singapore Med J 2013 Jan;54(1):4-7; quiz p.7. doi: 10.11622/smedj.2013002. PMID: 23338908
Peripheral edema masks the diagnoses of P pulmonale, P mitrale, and biatrial abnormality: clinical implications for patients with heart failure.
Madias JE
Congest Heart Fail 2006 Jan-Feb;12(1):20-4. doi: 10.1111/j.1527-5299.2006.04669.x. PMID: 16470088

Therapy

Electrocardiographic detection of hypertensive left atrial enlargement in the presence of obesity: re-calibration against cardiac magnetic resonance.
Rodrigues JC, Erdei T, Dastidar AG, McIntyre B, Burchell AE, Ratcliffe LE, Hart EC, Hamilton MC, Paton JF, Nightingale AK, Manghat NE
J Hum Hypertens 2017 Mar;31(3):212-219. Epub 2016 Sep 8 doi: 10.1038/jhh.2016.63. PMID: 27604657
ECG P wave abnormalities.
Tan LL, Teo SG, Poh KK
Singapore Med J 2013 Jan;54(1):4-7; quiz p.7. doi: 10.11622/smedj.2013002. PMID: 23338908

Prognosis

Electrocardiographic detection of hypertensive left atrial enlargement in the presence of obesity: re-calibration against cardiac magnetic resonance.
Rodrigues JC, Erdei T, Dastidar AG, McIntyre B, Burchell AE, Ratcliffe LE, Hart EC, Hamilton MC, Paton JF, Nightingale AK, Manghat NE
J Hum Hypertens 2017 Mar;31(3):212-219. Epub 2016 Sep 8 doi: 10.1038/jhh.2016.63. PMID: 27604657
Clinical role of atrial arrhythmias in patients with arrhythmogenic right ventricular dysplasia.
Saguner AM, Ganahl S, Kraus A, Baldinger SH, Medeiros-Domingo A, Saguner AR, Mueller-Burri SA, Wolber T, Haegeli LM, Krasniqi N, Tanner FC, Steffel J, Brunckhorst C, Duru F
Circ J 2014;78(12):2854-61. Epub 2014 Oct 20 doi: 10.1253/circj.cj-14-0474. PMID: 25327952
Accuracy of electrocardiographic criteria for atrial enlargement: validation with cardiovascular magnetic resonance.
Tsao CW, Josephson ME, Hauser TH, O'Halloran TD, Agarwal A, Manning WJ, Yeon SB
J Cardiovasc Magn Reson 2008 Jan 25;10(1):7. doi: 10.1186/1532-429X-10-7. PMID: 18272008Free PMC Article
Electrocardiographic findings in subarachnoid hemorrhage. A population study.
Melin J, Fogelholm R
Acta Med Scand 1983;213(1):5-8. doi: 10.1111/j.0954-6820.1983.tb03680.x. PMID: 6829319

Clinical prediction guides

Accuracy of Electrocardiography and Agreement with Echocardiography in the Diagnosis of Pediatric Left Atrial Enlargement.
Ng C, Ahmad A, Budhram DR, He M, Balakrishnan N, Mondal T
Sci Rep 2020 Jun 22;10(1):10027. doi: 10.1038/s41598-020-66987-7. PMID: 32572091Free PMC Article
Electrocardiographic detection of hypertensive left atrial enlargement in the presence of obesity: re-calibration against cardiac magnetic resonance.
Rodrigues JC, Erdei T, Dastidar AG, McIntyre B, Burchell AE, Ratcliffe LE, Hart EC, Hamilton MC, Paton JF, Nightingale AK, Manghat NE
J Hum Hypertens 2017 Mar;31(3):212-219. Epub 2016 Sep 8 doi: 10.1038/jhh.2016.63. PMID: 27604657
Clinical role of atrial arrhythmias in patients with arrhythmogenic right ventricular dysplasia.
Saguner AM, Ganahl S, Kraus A, Baldinger SH, Medeiros-Domingo A, Saguner AR, Mueller-Burri SA, Wolber T, Haegeli LM, Krasniqi N, Tanner FC, Steffel J, Brunckhorst C, Duru F
Circ J 2014;78(12):2854-61. Epub 2014 Oct 20 doi: 10.1253/circj.cj-14-0474. PMID: 25327952
Accuracy of electrocardiographic criteria for atrial enlargement: validation with cardiovascular magnetic resonance.
Tsao CW, Josephson ME, Hauser TH, O'Halloran TD, Agarwal A, Manning WJ, Yeon SB
J Cardiovasc Magn Reson 2008 Jan 25;10(1):7. doi: 10.1186/1532-429X-10-7. PMID: 18272008Free PMC Article
Electrocardiographic findings in subarachnoid hemorrhage. A population study.
Melin J, Fogelholm R
Acta Med Scand 1983;213(1):5-8. doi: 10.1111/j.0954-6820.1983.tb03680.x. PMID: 6829319

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