Belle Plaine, MN
A 30-year-old female 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?
1 doctor answer • 2 doctors weighed in

Dr. Donald Colantinoanswered
Internal Medicine 63 years experience
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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Reviewed Feb 01, 2022
Last updated Feb 1, 2022
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