PMID: 2254610Sep 1, 1990

The electrocardiogram in chronic obstructive pulmonary disease

The Journal of Emergency Medicine
D M RodmanT Rodman

Abstract

The electrocardiogram is often abnormal in patients who have chronic obstructive pulmonary disease. The most frequent abnormalities are a rightward P-wave axis (greater than or equal to 70 degrees) and a rightward QRS axis (greater than or equal to 90 degrees). In addition, low voltage in the limb leads, an S1S2S3 pattern, poor R-wave progression, a posterior-superior terminal QRS vector or other changes may be present. Transient atrial and ventricular dysrhythmias are common. Knowledge of the usual electrocardiographic manifestations of chronic obstructive pulmonary disease enables the clinician to recognize uncharacteristic abnormalities, which often represent the effects of superimposed illnesses or drug toxicity.

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Citations

Mar 19, 2014·The American Journal of Cardiology·Andrew O UsoroElsayed Z Soliman
Apr 11, 2012·Emergency Medicine Clinics of North America·Cory A Brulotte, Eddy S Lang
Feb 22, 2012·Journal of the American Society of Hypertension : JASH·Ricardo EsquitinMichael E Farkouh
Mar 21, 2008·Journal of Electrocardiology·Jason S ChinitzRalph J Verdino
Nov 29, 2015·Emergency Medicine Clinics of North America·Salvador J Suau, Peter M C DeBlieux
Jul 29, 2015·International Journal of Cardiology·Christos A GoudisPanagiotis Korantzopoulos
Jan 22, 2011·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Dvorah HoltzmanDipak Chandy
Jun 5, 2010·Journal of Cardiovascular Electrophysiology·David E KrummenSanjiv M Narayan
May 29, 2016·Trends in Cardiovascular Medicine·Marten E van den BergLies Lahousse
May 24, 2017·Open Heart·Marte Strømsnes LarssenKnut Gjesdal

Related Concepts

Acute Disease
Electrocardiographic Recorders
Heart Diseases
Lung Diseases, Obstructive

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