Tricuspid stenosis electrocardiogram: Difference between revisions

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* An ECG may be not helpful in the diagnosis tricuspid stenosis but it is an useful tool to identify the concurrent conditions such as atrial fibrillation.  
* An ECG may be not helpful in the diagnosis tricuspid stenosis but it is an useful tool to identify the concurrent conditions such as atrial fibrillation.  
* Arrhythmias are frequent in this patient population. Because of the enlargement of the right atrium, the presence of atrial flutter and/or fibrillation should not be surprising<ref name="pmid15786615">{{cite journal| author=Diaof M, Ba SA, Kane A, Sarr M, Diop IB, Diouf SM| title=[Tricuspid valve stenosis. A prospective study of 35 cases]. | journal=Dakar Med | year= 2004 | volume= 49 | issue= 2 | pages= 96-100 | pmid=15786615 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15786615  }} </ref> .
*Findings on an ECG suggestive of tricuspid stenosis include
*In sinus rhythm, right atrial enlargement or abnormality (tall P waves on inferior leads) may be noted.
**Tall, peak P waves in leads II, III, and avF which are consistent with right atrial enlargement
**Arrhythmias are frequent in this patient population.  
**Because of the enlargement of the right atrium, the presence of atrial flutter and/or fibrillation should not be surprising<ref name="pmid15786615">{{cite journal| author=Diaof M, Ba SA, Kane A, Sarr M, Diop IB, Diouf SM| title=[Tricuspid valve stenosis. A prospective study of 35 cases]. | journal=Dakar Med | year= 2004 | volume= 49 | issue= 2 | pages= 96-100 | pmid=15786615 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15786615  }} </ref> .
**In sinus rhythm, right atrial enlargement or abnormality (tall P waves on inferior leads) may be noted.


==References==
==References==

Revision as of 11:35, 20 March 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The electrocardiogram of patients with tricuspid stenosis can demonstrate a sinus rhythm with or without signs of right atrial hypertrophy. Patients with tricuspid stenosis can experience frequent arrhythmias, particularly atrial flutter and/or atrial fibrillation due to the enlargement of the right atrium.

Electrocardiogram

  • An ECG may be not helpful in the diagnosis tricuspid stenosis but it is an useful tool to identify the concurrent conditions such as atrial fibrillation.
  • Findings on an ECG suggestive of tricuspid stenosis include
    • Tall, peak P waves in leads II, III, and avF which are consistent with right atrial enlargement
    • Arrhythmias are frequent in this patient population.
    • Because of the enlargement of the right atrium, the presence of atrial flutter and/or fibrillation should not be surprising[1] .
    • In sinus rhythm, right atrial enlargement or abnormality (tall P waves on inferior leads) may be noted.

References

  1. Diaof M, Ba SA, Kane A, Sarr M, Diop IB, Diouf SM (2004). "[Tricuspid valve stenosis. A prospective study of 35 cases]". Dakar Med. 49 (2): 96–100. PMID 15786615.

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