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P pulmonale

MedGen UID:
66673
•Concept ID:
C0232308
•
Finding
Synonyms: P pulmonale by EKG; P pulmonale by electrocardiogram; P-pulmonale; P-pulmonale by ECG Finding; P-pulmonale by EKG Finding; Right Atrial Enlargement by ECG Finding
SNOMED CT: P pulmonale (164914003); P pulmonale by electrocardiogram (164914003); P pulmonale by EKG (164914003)
 
HPO: HP:0031601

Definition

The presence of tall, peaked P waves in EKG lead II. [from HPO]

Term Hierarchy

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

Professional guidelines

PubMed

Reevaluation of electrocardiographic criteria for left, right and combined cardiac ventricular hypertrophy.
Murphy ML, Thenabadu PN, de Soyza N, Doherty JE, Meade J, Baker BJ, Whittle JL
Am J Cardiol 1984 Apr 1;53(8):1140-7. doi: 10.1016/0002-9149(84)90651-9. PMID: 6230928
Two-dimensional echocardiographic assessment of electrocardiographic criteria for right atrial enlargement.
Reeves WC, Hallahan W, Schwiter EJ, Ciotola TJ, Buonocore E, Davidson W
Circulation 1981 Aug;64(2):387-91. doi: 10.1161/01.cir.64.2.387. PMID: 6454512

Recent clinical studies

Etiology

Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial.
Wade RC, Mkorombindo T, Ling SX, Helgeson ES, MacDonald DM, Pew K, Voelker H, Bittner V, Kunisaki KM, Lammi MR, Dransfield MT
BMC Pulm Med 2023 Nov 9;23(1):434. doi: 10.1186/s12890-023-02748-2. PMID: 37946165Free PMC Article
Thrombus risk versus bleeding risk: a clinical conundrum.
Ng E, Ekladious A, Wheeler LP
BMJ Case Rep 2019 Mar 8;12(3) doi: 10.1136/bcr-2018-228344. PMID: 30852504Free PMC Article
ECG in suspected pulmonary embolism.
Thomson D, Kourounis G, Trenear R, Messow CM, Hrobar P, Mackay A, Isles C
Postgrad Med J 2019 Jan;95(1119):12-17. Epub 2019 Jan 21 doi: 10.1136/postgradmedj-2018-136178. PMID: 30665906
Correlation of right atrial enlargement on ECG to right atrial volume by echocardiography in patients with pulmonary hypertension.
Allison JD, Macedo FY, Hamzeh IR, Birnbaum Y
J Electrocardiol 2017 Sep-Oct;50(5):555-560. Epub 2017 Apr 22 doi: 10.1016/j.jelectrocard.2017.04.012. PMID: 28511781
P-pulmonale and the development of atrial fibrillation.
Hayashi H, Miyamoto A, Kawaguchi T, Naiki N, Xue JQ, Matsumoto T, Murakami Y, Horie M
Circ J 2014;78(2):329-37. Epub 2013 Nov 27 doi: 10.1253/circj.cj-13-0654. PMID: 24284921

Diagnosis

Electrocardiographic alterations in chronic obstructive pulmonary disease.
Valente D, Segreti A, Celeski M, Polito D, Vicchio L, Di Gioia G, Ussia GP, Antonelli-Incalzi R, Grigioni F
J Electrocardiol 2024 Jul-Aug;85:58-65. Epub 2024 May 24 doi: 10.1016/j.jelectrocard.2024.05.083. PMID: 38865856
Electrocardiogram in patients with pulmonary hypertension.
Ley L, Höltgen R, Bogossian H, Ghofrani HA, Bandorski D
J Electrocardiol 2023 Jul-Aug;79:24-29. Epub 2023 Mar 5 doi: 10.1016/j.jelectrocard.2023.02.007. PMID: 36913785
Electrocardiographic manifestations in a large right-sided pneumothorax.
Yamamoto H, Satomi K, Aizawa Y
BMC Pulm Med 2021 Mar 23;21(1):101. doi: 10.1186/s12890-021-01470-1. PMID: 33757495Free PMC Article
ECG in suspected pulmonary embolism.
Thomson D, Kourounis G, Trenear R, Messow CM, Hrobar P, Mackay A, Isles C
Postgrad Med J 2019 Jan;95(1119):12-17. Epub 2019 Jan 21 doi: 10.1136/postgradmedj-2018-136178. PMID: 30665906
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

Therapy

Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial.
Wade RC, Mkorombindo T, Ling SX, Helgeson ES, MacDonald DM, Pew K, Voelker H, Bittner V, Kunisaki KM, Lammi MR, Dransfield MT
BMC Pulm Med 2023 Nov 9;23(1):434. doi: 10.1186/s12890-023-02748-2. PMID: 37946165Free PMC Article
Thrombus risk versus bleeding risk: a clinical conundrum.
Ng E, Ekladious A, Wheeler LP
BMJ Case Rep 2019 Mar 8;12(3) doi: 10.1136/bcr-2018-228344. PMID: 30852504Free PMC Article
Is an Abnormal ECG Just the Tip of the ICE-berg? Examining the Utility of Electrocardiography in Detecting Methamphetamine-Induced Cardiac Pathology.
Paratz ED, Zhao J, Sherwen AK, Scarlato RM, MacIsaac AI
Heart Lung Circ 2017 Jul;26(7):684-689. Epub 2016 Dec 9 doi: 10.1016/j.hlc.2016.11.005. PMID: 28110851
P-pulmonale and the development of atrial fibrillation.
Hayashi H, Miyamoto A, Kawaguchi T, Naiki N, Xue JQ, Matsumoto T, Murakami Y, Horie M
Circ J 2014;78(2):329-37. Epub 2013 Nov 27 doi: 10.1253/circj.cj-13-0654. PMID: 24284921
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

Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial.
Wade RC, Mkorombindo T, Ling SX, Helgeson ES, MacDonald DM, Pew K, Voelker H, Bittner V, Kunisaki KM, Lammi MR, Dransfield MT
BMC Pulm Med 2023 Nov 9;23(1):434. doi: 10.1186/s12890-023-02748-2. PMID: 37946165Free PMC Article
Electrocardiogram in patients with pulmonary hypertension.
Ley L, Höltgen R, Bogossian H, Ghofrani HA, Bandorski D
J Electrocardiol 2023 Jul-Aug;79:24-29. Epub 2023 Mar 5 doi: 10.1016/j.jelectrocard.2023.02.007. PMID: 36913785
ECG in suspected pulmonary embolism.
Thomson D, Kourounis G, Trenear R, Messow CM, Hrobar P, Mackay A, Isles C
Postgrad Med J 2019 Jan;95(1119):12-17. Epub 2019 Jan 21 doi: 10.1136/postgradmedj-2018-136178. PMID: 30665906
Prevalence and predictive value of electrocardiographic abnormalities in pulmonary hypertension: evidence from the Pan-African Pulmonary Hypertension Cohort (PAPUCO) study.
Balieva I, Dzudie A, Thienemann F, Mocumbi AO, Karaye K, Sani MU, Ogah OS, Voors AA, Kengne AP, Sliwa K
Cardiovasc J Afr 2017 Nov/Dec 23;28(6):370-376. Epub 2017 Oct 11 doi: 10.5830/CVJA-2017-020. PMID: 29019518Free PMC Article
P-pulmonale and the development of atrial fibrillation.
Hayashi H, Miyamoto A, Kawaguchi T, Naiki N, Xue JQ, Matsumoto T, Murakami Y, Horie M
Circ J 2014;78(2):329-37. Epub 2013 Nov 27 doi: 10.1253/circj.cj-13-0654. PMID: 24284921

Clinical prediction guides

Association between P-pulmonale and respiratory morbidity in COPD: a secondary analysis of the BLOCK-COPD trial.
Wade RC, Mkorombindo T, Ling SX, Helgeson ES, MacDonald DM, Pew K, Voelker H, Bittner V, Kunisaki KM, Lammi MR, Dransfield MT
BMC Pulm Med 2023 Nov 9;23(1):434. doi: 10.1186/s12890-023-02748-2. PMID: 37946165Free PMC Article
Electrocardiogram in patients with pulmonary hypertension.
Ley L, Höltgen R, Bogossian H, Ghofrani HA, Bandorski D
J Electrocardiol 2023 Jul-Aug;79:24-29. Epub 2023 Mar 5 doi: 10.1016/j.jelectrocard.2023.02.007. PMID: 36913785
Study of Cardiovascular Involvement in Rheumatoid Arthritis and it's Correlation with Severity of Disease.
M S, Gauri L
J Assoc Physicians India 2022 Apr;70(4):11-12. PMID: 35443431
ECG in suspected pulmonary embolism.
Thomson D, Kourounis G, Trenear R, Messow CM, Hrobar P, Mackay A, Isles C
Postgrad Med J 2019 Jan;95(1119):12-17. Epub 2019 Jan 21 doi: 10.1136/postgradmedj-2018-136178. PMID: 30665906
Prevalence and predictive value of electrocardiographic abnormalities in pulmonary hypertension: evidence from the Pan-African Pulmonary Hypertension Cohort (PAPUCO) study.
Balieva I, Dzudie A, Thienemann F, Mocumbi AO, Karaye K, Sani MU, Ogah OS, Voors AA, Kengne AP, Sliwa K
Cardiovasc J Afr 2017 Nov/Dec 23;28(6):370-376. Epub 2017 Oct 11 doi: 10.5830/CVJA-2017-020. PMID: 29019518Free PMC Article

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