---
abstract: 'Himalayan or giant P-waves (amplitude =5 mm) are often known to be classically associated with congenital heart diseases with right to left shunt like tricuspid atresia, Ebstein anomaly, combined tricuspid and pulmonic stenosis, etc, where they indicate a dilated right atrium and tend to be persistent. These type P waves are rarely seen in chronic obstructive pulmonary disease (COPD) and in this condition it may be due to structural right atrial changes or hypoxemia or combination of both. Here we report a case of COPD with Himalayan P waves which is a rare entity.'
altloc:
  - http://www.ojhas.org/issue48/2013-4-13.html
chapter: ~
commentary: ~
commref: ~
confdates: ~
conference: ~
confloc: ~
contact_email: ~
creators_id:
  - ~
  - nmsbabu18@yahoo.com
  - ~
  - ~
  - ~
  - ~
creators_name:
  - family: Kumar SS
    given: S
    honourific: ''
    lineage: ''
  - family: Babu
    given: SNM
    honourific: ''
    lineage: ''
  - family: Mahajan
    given: SK
    honourific: ''
    lineage: ''
  - family: Kaushik
    given: M
    honourific: ''
    lineage: ''
  - family: Verma
    given: BS
    honourific: ''
    lineage: ''
  - family: Kaushal
    given: SS
    honourific: ''
    lineage: ''
date: 2014-02-20
date_type: published
datestamp: 2015-02-21 14:36:20
department: ~
dir: disk0/00/00/97/20
edit_lock_since: ~
edit_lock_until: 0
edit_lock_user: ~
editors_id:
  - Kakkilaya BS
editors_name:
  - family: Kakkilaya
    given: Srinivas
    honourific: Dr
    lineage: ''
eprint_status: archive
eprintid: 9720
fileinfo: /9720/1.hassmallThumbnailVersion/2013-4-13.pdf;/9720/1/2013-4-13.pdf
full_text_status: public
importid: ~
institution: ~
isbn: ~
ispublished: pub
issn: ~
item_issues_comment: []
item_issues_count: ~
item_issues_description: []
item_issues_id: []
item_issues_reported_by: []
item_issues_resolved_by: []
item_issues_status: []
item_issues_timestamp: []
item_issues_type: []
keywords: Himalayan P waves; Giant; Chronic obstructive pulmonary disease
lastmod: 2015-04-20 11:43:10
latitude: ~
longitude: ~
metadata_visibility: show
note: ~
number: 4(13)
pagerange: ~
pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Kakkilaya BS
refereed: TRUE
referencetext: "1.\tReddy SC, Zuberbuhler JR. Himalayan P-waves in a patient with tricuspid atresia.Circulation.2003;107:498.\r\n2.\tHernandez FA, Rochkind R, Cooper HR. The intracavitary electrocardiogram in the diagnosis of Ebstein’s anomaly. Am J Cardiol. 1958;1:181–190.\r\n3.\tDavutoglu V, Kilinc M, Dinckal MH. Himalayan P waves in a patient with combined tricuspid and pulmonic stenosis. Heart 2003;89:1216.\r\n4.\tLovely Chhabra, David H. Spodick. Transient Super-Himalayan P-waves in severe pulmonary emphysema. Journal of Electrocardiology. 2012;45:26–27.\r\n5.\tVijayakrishnan R, Spodick DH. Himalayan P waves in the setting of severe hypoxemia and emphysema. Can J Cardiol. 2010;26:136.\r\n6.\tSpodick DH. Electrocardiographic studies in pulmonary disease: establishment of criteria for the electrocardiographic inference of diffuse lung disease. Circulation. 1959;20:1073.\r\n7.\tSurawicz B, Knilans T, Chou T. Atrial abnormalities. Chou's electrocardiography in clinical practice: adult and pediatric. 6th ed. Philadelphia: Elsevier/Saunders; 2008. p. 33.\r\n8.\tZimmerman HA, Bersano E, Dicosky C. The auricular electrocardiogram. Springfield (Ill): Charles C Thomas; 1968."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 11
series: ~
source: ~
status_changed: 2015-02-21 14:36:20
subjects:
  - OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: 'Himalayan P waves in COPD - A Rare Feature'
type: journale
userid: 4338
volume: 12
<script src='https://archive-bar.soton.ac.uk/archive-bar.js'></script>
<script src='https://archive-bar.soton.ac.uk/google-analytics.js'></script>