Total anomalous pulmonary venous connection electrocardiogram

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Keri Shafer, M.D. [3]; Priyamvada Singh, MBBS [4]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [5]

Overview

Electrocardiography findings are not very specific. However, they can show changes due to the dilatation of the right side of the heart. Possible findings include tall P wave, right axis deviation, and ST changes corresponding to right ventricular hypertrophy.

Electrocardiogram

Electrocardiography may be used as a screening tool. An electrocardiogram indicative of a total anomalous pulmonary venous connection will have:^[1]

Right atrial hypertrophy (tall ‘P’ wave)
Right axis deviation on ECG
Right ventricular hypertrophy (ST changes)

References

↑ Gathman, Gary E.; Nadas, Alexander S. (1970). “Total Anomalous Pulmonary Venous Connection”. Circulation. 42 (1): 143–154. doi:10.1161/01.CIR.42.1.143. ISSN 0009-7322.

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[GathmanNadas1970-1] Gathman, Gary E.; Nadas, Alexander S. (1970). “Total Anomalous Pulmonary Venous Connection”. Circulation. 42 (1): 143–154. doi:10.1161/01.CIR.42.1.143. ISSN 0009-7322.

[1]

Total anomalous pulmonary venous connection electrocardiogram

Overview

Electrocardiogram

References

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