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Right Atrial Enlargement (RAE) increases the p wave, representing atrial depolarization, on an ECG to an amplitude > 2.5mm in lead II, an abnormality referred to as p-pulmonale, likely due to weakened right atrial myocardium close to the Sinoatrial (SA) node. [9]
Enlargement of right ventricular myocardial mass can result in right axis deviation. There are 2 main reasons for this mechanism. [ 15 ] Firstly, more muscle mass will result in greater amplitude of depolarisation of that side of the heart. [ 15 ]
Atrial enlargement refers to a condition where the left atrium or right atrium of the heart is larger than would be expected. It can also affect both atria. [1] Types include: Left atrial enlargement; Right atrial enlargement
P-wave changes in left and right atrial hypertrophy. Bifid P waves (known as P mitrale) indicate left-atrial abnormality - e.g. dilatation [6] or hypertrophy. [1] If at least three different shaped P waves can be seen in a given ECG lead tracing, this implies that even if one of them arises from the SA node, at least two others are arising ...
A 12-lead ECG of a woman with Ebstein's anomaly: The ECG shows signs of right atrial enlargement, best seen in V1. Other P waves are broad and tall, these are termed "Himalayan" P waves. Also, a right bundle-branch block pattern and a first-degree atrioventricular block (prolonged PR-interval) due to intra-atrial conduction delay are seen.
The right ventricle is one of the four chambers of the heart. It is located towards the right lower chamber of the heart and it receives deoxygenated blood from the right upper chamber (right atrium) and pumps blood into the lungs. Since RVH is an enlargement of muscle it arises when the muscle is required to work harder.
Treatment antiarrythmic agents , diuretics , catheter ablation , pacemaker [ 1 ] Tachycardia-induced cardiomyopathy (TIC) is a disease where prolonged tachycardia (a fast heart rate) or arrhythmia (an irregular heart rhythm) causes an impairment of the myocardium (heart muscle), which can result in heart failure .
Biatrial enlargement; Thickened LV walls (with normal chamber size) Thickened RV free wall (with normal chamber size) Elevated right atrial pressure (>12mmHg), Moderate pulmonary hypertension, Normal systolic function, Poor diastolic function, typically Grade III - IV Diastolic heart failure.
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