Question 1

inverted p wave lead avl with exercise? hr goes up much quicker than usual with exertion. athlete

Accepted Answer

Exercise physiology: The heart rate normally accelerates with exercise, driven by faster sinus rhythm (indicated on an EKG by P waves.) There are occasionally P waves that come from other places than the sinus node (ectopic atrial rhythm.) It sounds like you've already had some testing. These little boxes aren't big enough for detailed analysis; consider an Inbox Consult with a cardiologist here.

Question 2

have a 3 lead ecg, lead ii i was having palpitations it was premature a junctional complexes as it with inverted p wave. normal echo. are they benign?

Accepted Answer

Yes: from your description and WITHOUT seeing EKG sound like normal atrial premature beats (assuming normal echo size atrium)
Hope this is helpful!
Dr Z

Question 3

i don't know anything about medicine, i just want to know if a inverted p wave on ecg can be nothing bad.?

Accepted Answer

Could be fine: It's usually fine.  The exact location the P wave comes from in the heart moves up and down in the right atrium along something called the crista terminalis.  As it does so, the P wave morphology can change.  Your specific situation may vary, of course.

Question 4

what is usual p wave orientation in v1 and v2?  what does inverted p wave v1 and biphasic in v2 mean? is it common? heart rate 95. athlete.

Accepted Answer

The P waves: (Atrial depolarization/repolarization) in the V (anterior chest) waves are PLACEMENT (of the electrodes) DEPENDENT!!  the "inversion" or "biphasic" descriptions HAVE NO CLINICAL SIGNIFICANCE!
Hope this is helpfu!

Dr Z

Question 5

is an upright p wave v1 and inverted p wave avl with tachycardia indicative of ectopic rhythm? other ekg shows biphasic p wave v1, upright p wave avl

Accepted Answer

If the tachycardia: is occurring at rest with changes in the P wave morphology then it might be an ectopic atrial tachycardia. If it is occurring during exercise it is not diagnostic and may still be a normal sinus mechanism.

Question 6

male 22. got a portable 3 lead ecg at home. my p wave can't really be seen but my mums can? how come?

Accepted Answer

Ectopic atrial rhyth: You might have a ectopic atrial rhythm - which means your arial beats instead of originating in the sa node - originates else where. It is benign and nothing to worry about.  Get a standard 12 lead ekg to check.

Question 7

inverted t wave in lead 3. normal chemistry/cbc. next day t-waves were normal (upwards) causes for this?

Accepted Answer

Questionable: Inverted t waves in any one lead are of rather questionable value.  If you do not have any symptoms such as chest pains, sob, sweating without a reason, nausea or vomiting, i would not worry about it too much.

Question 8

can incorrect lead placement lead to an inverted t-wave on ekg?

Accepted Answer

Yes: Yes, absolutely.  Avr usually has inverted t-waves normally.  If you invert left and right arm electrodes, avr becomes avl so now avl has inverted t waves (where as typically it does not).

Question 9

ekg shows inverted t waves. normal sinus rythmn. palpitations feel like skipped beat followed by two hard slow thumps then back to normal. what is it?

Accepted Answer

PVC.: Sounds like you have a premature ventricular contractions or premature atrial contractions although i think these less likely.  I would not be worried about inverted t waves in the absence of any other cardiac symptoms.  To be absolutely sure these are what i think they are it would be reasonable to obtain a holter or event monitor and capture a few of these.

Question 10

i had an ekg and was told that my p wave was consistently higher than normal. what could this indicate? have heart ultrasound coming up hopefully in a week or two?

Accepted Answer

: A tall peaked P wave on an EKG , called P pulmohale, may be a sign of enlargement of the right atrium of the heart which can occur with elevated pressure in the pulmonary artery as well as in chronic lung disease.  I have also seen tall peaked P waves transiently appear during rapid heart rates. An echocardiogram will be able to diagnose right atrial enlargement as well as pulmonary hypertension.

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Doctor answers about:

Inverted p wave in lead 2

A member asked:

Inverted p wave lead avl with exercise? hr goes up much quicker than usual with exertion. athlete

A member asked:

Have a 3 lead ecg, lead ii i was having palpitations it was premature a junctional complexes as it with inverted p wave. normal echo. are they benign?

A member asked:

I don't know anything about medicine, i just want to know if a inverted p wave on ecg can be nothing bad.?

A member asked:

What is usual p wave orientation in v1 and v2? what does inverted p wave v1 and biphasic in v2 mean? is it common? heart rate 95. athlete.

A member asked:

Is an upright p wave v1 and inverted p wave avl with tachycardia indicative of ectopic rhythm? other ekg shows biphasic p wave v1, upright p wave avl

A member asked:

Male 22. got a portable 3 lead ecg at home. my p wave can't really be seen but my mums can? how come?

A member asked:

Inverted t wave in lead 3. normal chemistry/cbc. next day t-waves were normal (upwards) causes for this?

A member asked:

Can incorrect lead placement lead to an inverted t-wave on ekg?

A member asked:

Ekg shows inverted t waves. normal sinus rythmn. palpitations feel like skipped beat followed by two hard slow thumps then back to normal. what is it?

A member asked:

I had an ekg and was told that my p wave was consistently higher than normal. what could this indicate? have heart ultrasound coming up hopefully in a week or two?

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