Cardio
9/21/99
- Tall
and peaked P wave
- Hypertrophy
of the atrial wall
- Why
would this be happening
- >.25mV
- Could
have tricuspid stenosis—remote chance
- Pulmonary
stenosis—pressure in the Right ventricle from the blood not
leaving—possibly esp. if >30 y/o
- Lung
damage w/fluid accumulation—40 and 50's years—the blood leads to
capillaries in the alveoli—pulmonary hypertension
- Leads
to Right Ventricular hypertrophy and Right Atrial hypertrophy
- P.
pulmonale
- RVH—right
ventricular hypertrophy
- CHF—congestive
heart failure
- Edema,
swollen ankles, veins of neck—backs up to the venous system—
- Emphysema
- 300
boxes/min, 5 boxes/sec
- The
height of one box is .5mV
- Most P
waves are about half the height of a box
- Normal
voltage for a P wave is .25mV
- Curvy
and long P wave or two humps w/in one box
- Left
atrial enlargement—P-mitrale
- Atrial
flutter—saw tooth looking figures
- Atrial
fibrillation—quivering line then a QRS wave
- b
blockers to block the sympathetics that are going to the heart