A member asked:

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

A doctor has provided 1 answer
Dr. Alan Heldman answered

Specializes in Cardiology

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.

Answered 3/24/2017

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