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P Wave

tombeaux profile image
10 Replies

Can AF still exist if the P wave is presenting with full tone and in sequence?

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tombeaux
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rosyG profile image
rosyG

Absence of P wave means AF so don't think so. It could be something diffent if you feel something is happening. Try to capture on ECG and then you can get diagnosis

rosyG profile image
rosyG in reply torosyG

had message saying this might be misleading- apologies if not clear - there are other problems which show small or buriedP waves but AF usually does not have P wave. I don't think the P wave causes AF ( as suggested possible below) but is rather a reflection of the quivering fibrillation replacing proper regular beats of the Right Atrium. If you feel something is amiss, and have P as mentioned in your post, I think it's best to get ECG done and get medical opinion ( which I am not putting forward here!!)

My P wave has always been slightly delayed but it''s not stopped my AF.

tombeaux profile image
tombeaux in reply to

That stands to reason, but has that slight delay in P wave caused your AF?

I've seen two EP 's and had a Bruce Protocol test - the harder of the two - and neither EP mentioned the P wave as a causative factor. Then again as an engineer I'm aware that an issue may have more than one cause.

tombeaux profile image
tombeaux in reply to

John I would really appreciate if you could comment on my other post on wave form calculations.

in reply totombeaux

Two EPs with full diagnostic data were not able to advise me what had caused my AF, nor if the delayed P wave was a significant factor. In the same way I had a stroke when classified by an EP as low risk. Further, the Royal College of Physicians state that the cause of 25% of strokes is initially unknown (and is then open to speculation including the possibility of AF). There may be undiscovered causes of AF. As an example, Bristol University have stated a link between high blood pressure and abnormal brain cells, so are abnormal brain cells implicated in AF? In the future ablations may be seen in the same light as blood letting. Risk analysis and data sets may be interesting but medical conditions can confound them. I've had a femoral hernia that occurs in less than 1%of men and, pulmonary toxicity secondary to dronedarone and amiodarone that occurs in 6 out of 100,000 patients.

tombeaux profile image
tombeaux in reply to

amiodarone is a horrid drug. 17 pages of conflicts starting with ocular degeneration and lung cancer.

i get blood letting every two months for hemochromatosis. lol

dedeottie profile image
dedeottie

Hi Jonboy, it is good to meet someone who like me, disproves the rule! X

in reply todedeottie

We are the "special ones", not certain football managers 😁

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