Author/Authors :
Lazovic, Biljana Clinical Hospital Center Zemun - Department of Internal Medicine, Serbia , Mazic, Sanja University of Belgrade - Faculty of Medicine, Serbia , Mazic, Sanja University of - School of Medicine - Institute of Physiology, Serbia , Stajic, Zoran Clinical Hospital Centre Zemun - Department of Internal Medicine, Serbia , Djelic, Marina University of Belgrade - Faculty of Medicine, Serbia , Djelic, Marina University of Belgrade - School of Medicine - Institute of Physiology, Serbia , Zlatkovic-Svenda, Mirjana Institute of Rheumatology - Clinical Rheumatology, Serbia , Putnikovic, Biljana Clinical Hospital Centre Zemun - Department of Internal Medicine, Serbia , Putnikovic, Biljana University of Belgrade - Faculty of Medicine, Serbia
Abstract :
Introduction: P-wave abnormalities on the resting electrocardiogram have been associated with cardiovascular or pulmonary disease. So far, “Gothic” P wave and verticalization of the frontal plane axis is related to lung disease, particularly obstructive lung disease. Aim: We tested if inverted P wave in AVl as a lone criteria of P wave axis 70° could be screening tool for emphysema. Material and method: 1095 routine electrocardiograms (ECGs) were reviewed which yielded 478 (82,1%) ECGs with vertical P-axis in sinus rhythm. Charts were reviewed for the diagnosis of COPD andemphysema based on medical history and pulmonary function tests. Conclusion: Electrocardiogramis very effective screening tool not only in cardiovascular field but in chronic obstructive pulmonary disease. The verticality of the P axis is usually immediately apparent, making electrocardiogram rapid screening test for emphysema.
