In some cases there can be a notched (or bifid) p-wave known as “p mitrale”, indicative of left atrial hypertrophy which may be caused by mitral stenosis. There may be tall peaked p-waves. This is called “p-pulmonale” and is indicative of right atrial hypertrophy often secondary to...
RVH (tall R wave in V1). Also tented P waves especially in lead II. COPD can result in cor pulmonale. Digoxin Normal effect: ST segment depression, T wave flattening, shorted QT → Dalí mustache (U wave). Toxic effect: PVCs, AV block, junctional tachycardia, 2:1 PAT, bidirectional ...
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