Hassell T A, Hoffbrand B I
Postgrad Med J. 1970 Jul;46(537):428-9. doi: 10.1136/pgmj.46.537.428.
An investigation during a prospective study of myocardial infarction has confirmed previous observations of P wave changes in association with left ventricular failure. Although an indicator of pre-existing left ventricular disease as well as acute left atrial distension, a negative deflection of 1 mm or more in the P wave of lead V should raise strong suspicions about the presence of this serious complication.
在一项关于心肌梗死的前瞻性研究中进行的调查证实了先前有关P波变化与左心室衰竭相关的观察结果。尽管P波变化是既往存在的左心室疾病以及急性左心房扩张的一个指标,但V导联P波出现1毫米或更大的负向偏移应高度怀疑存在这种严重并发症。